Single level spinal fusion except cervical without major complications in Texas
What 5 hospitals in Texas charged and were paid for a Medicare hospital stay for single level spinal fusion except cervical without major complications (DRG 451), from 2024 Medicare claims.
Average charge
$147,695
Hospital list price billed
Average payment
$23,086
Medicare + patient + other payers
Medicare paid
$20,361
Average per stay
State rank
#1 of 5
1 = lowest average payment
Hospitals in Texas billed an average of $147,695 for single level spinal fusion except cervical without major complications, about 6.4 times the average total payment of $23,086. That payment is 25% below the U.S. average of $30,599.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $23,086Billed $147,695
About 16¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: single level spinal fusion except cervical without major complications
Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Methodist Hospital,TheHouston | 14 | $275,973 | $26,635 | $23,890 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 13 | $68,293 | $23,569 | $17,558 |
| Kell West Regional HospitalWichita Falls | 12 | $35,359 | $20,255 | $19,031 |
| Texas Spine and Joint HospitalTyler | 12 | $67,437 | $20,257 | $18,625 |
| Hendrick Health SystemAbilene | 11 | $288,374 | $24,173 | $22,525 |
Lowest and highest payments in Texas
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Kell West Regional HospitalWichita Falls, TX | $20,255 |
|---|---|
| Texas Spine and Joint HospitalTyler, TX | $20,257 |
| Baylor Surgical Hospital at Fort WorthFort Worth, TX | $23,569 |
| Hendrick Health SystemAbilene, TX | $24,173 |
| Methodist Hospital,TheHouston, TX | $26,635 |
Highest
| Methodist Hospital,TheHouston, TX | $26,635 |
|---|---|
| Hendrick Health SystemAbilene, TX | $24,173 |
| Baylor Surgical Hospital at Fort WorthFort Worth, TX | $23,569 |
| Texas Spine and Joint HospitalTyler, TX | $20,257 |
| Kell West Regional HospitalWichita Falls, TX | $20,255 |
Single level spinal fusion except cervical without major complications in other states
Questions
How much does single level spinal fusion except cervical without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for single level spinal fusion except cervical without major complications (DRG 451) at 5 hospitals in Texas was billed at $147,695 on average, while the average total payment was $23,086, of which Medicare paid $20,361. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 6.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.