Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in Texas
What 10 hospitals in Texas charged and were paid for a Medicare hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457), from 2024 Medicare claims.
Average charge
$545,116
Hospital list price billed
Average payment
$56,768
Medicare + patient + other payers
Medicare paid
$47,542
Average per stay
State rank
#6 of 11
1 = lowest average payment
Hospitals in Texas billed an average of $545,116 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 9.6 times the average total payment of $56,768. That payment is 14% below the U.S. average of $65,757.
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 $56,768Billed $545,116
About 10¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
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 |
|---|---|---|---|---|
| Medical Center of PlanoPlano | 29 | $813,597 | $52,022 | $43,365 |
| Medical City Dallas HospitalDallas | 26 | $708,433 | $53,947 | $39,361 |
| Scott & White Hospital-Round RockRound Rock | 22 | $140,681 | $49,666 | $38,361 |
| UT Southwestern University HospitalDallas | 14 | $271,407 | $60,233 | $57,689 |
| Seton Medical Center AustinAustin | 14 | $754,931 | $74,260 | $73,050 |
| Methodist HospitalSan Antonio | 14 | $538,086 | $50,705 | $42,262 |
| Memorial Hermann Texas Medical CenterHouston | 12 | $371,341 | $60,936 | $58,001 |
| East Texas Medical CenterTyler | 11 | $391,099 | $44,057 | $42,068 |
| Methodist Hospital,TheHouston | 11 | $672,455 | $70,427 | $66,178 |
| St Davids HospitalAustin | 11 | $566,662 | $65,697 | $33,024 |
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
| East Texas Medical CenterTyler, TX | $44,057 |
|---|---|
| Scott & White Hospital-Round RockRound Rock, TX | $49,666 |
| Methodist HospitalSan Antonio, TX | $50,705 |
| Medical Center of PlanoPlano, TX | $52,022 |
| Medical City Dallas HospitalDallas, TX | $53,947 |
Highest
| Seton Medical Center AustinAustin, TX | $74,260 |
|---|---|
| Methodist Hospital,TheHouston, TX | $70,427 |
| St Davids HospitalAustin, TX | $65,697 |
| Memorial Hermann Texas Medical CenterHouston, TX | $60,936 |
| UT Southwestern University HospitalDallas, TX | $60,233 |
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in other states
Questions
How much does spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in Texas?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 10 hospitals in Texas was billed at $545,116 on average, while the average total payment was $56,768, of which Medicare paid $47,542. 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 9.6 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.