Spinal fusion except cervical without major complications in Texas
What 47 hospitals in Texas charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.
Average charge
$205,828
Hospital list price billed
Average payment
$29,932
Medicare + patient + other payers
Medicare paid
$23,959
Average per stay
State rank
#12 of 43
1 = lowest average payment
Hospitals in Texas billed an average of $205,828 for spinal fusion except cervical without major complications, about 6.9 times the average total payment of $29,932. That payment is 12% below the U.S. average of $34,025.
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 $29,932Billed $205,828
About 15¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: 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 |
|---|---|---|---|---|
| South Texas Spine and Surgical HospitalSan Antonio | 82 | $91,021 | $24,942 | $20,594 |
| Texas Spine and Joint HospitalTyler | 76 | $78,555 | $23,414 | $21,091 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 61 | $74,985 | $24,605 | $18,778 |
| Medical Center of PlanoPlano | 58 | $573,462 | $31,184 | $25,241 |
| Methodist Hospital,TheHouston | 55 | $407,245 | $46,926 | $34,636 |
| Methodist Hospital for SurgeryAddison | 47 | $90,946 | $29,819 | $19,000 |
| Hendrick Health SystemAbilene | 46 | $339,120 | $28,351 | $26,091 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 46 | $116,021 | $29,080 | $22,640 |
| Scott & White Hospital-Round RockRound Rock | 41 | $90,573 | $28,944 | $23,103 |
| Texas Health Harris Methodist Fort WorthFort Worth | 40 | $142,232 | $32,846 | $22,766 |
| East Texas Medical CenterTyler | 35 | $168,638 | $26,009 | $24,150 |
| Longview Regional Medical CenterLongview | 35 | $358,005 | $27,111 | $22,796 |
| Memorial Hermann Texas Medical CenterHouston | 31 | $253,995 | $41,808 | $34,413 |
| Baylor University Medical CenterDallas | 30 | $126,215 | $39,139 | $27,147 |
| Oakbend Medical CenterRichmond | 30 | $132,198 | $32,270 | $31,183 |
| Mem Hermann Southwest HospHouston | 29 | $152,189 | $34,628 | $24,633 |
| Medical City Dallas HospitalDallas | 29 | $351,646 | $31,532 | $23,635 |
| UT Southwestern University HospitalDallas | 28 | $135,080 | $31,684 | $24,068 |
| Shannon Medical CenterSan Angelo | 28 | $126,616 | $25,476 | $22,714 |
| Baylor Surgical Hospital at las ColinasIrving | 27 | $71,404 | $21,673 | $17,778 |
| Methodist Dallas Medical CenterDallas | 26 | $135,726 | $40,624 | $26,211 |
| Paris Regional Medical CenterParis | 24 | $100,579 | $26,286 | $24,722 |
| Texas Orthopedic HospitalHouston | 24 | $333,325 | $35,145 | $18,510 |
| Methodist Sugar Land HospitalSugar Land | 21 | $352,563 | $33,849 | $32,216 |
| Baptist Medical CenterSan Antonio | 20 | $558,037 | $32,088 | $26,191 |
| Baylor Regional Medical Center at PlanoPlano | 20 | $109,654 | $24,282 | $22,731 |
| Quail Creek Surgical HospitalAmarillo | 18 | $95,118 | $26,765 | $19,327 |
| Scott & White Memorial HospitalTemple | 17 | $106,345 | $34,207 | $25,431 |
| Seton Medical Center WilliamsonRound Rock | 17 | $316,950 | $36,987 | $24,480 |
| Seton Medical Center AustinAustin | 16 | $316,158 | $35,563 | $25,433 |
| CHI St Lukes Health Memorial LufkinLufkin | 16 | $155,983 | $25,838 | $24,262 |
| Plaza Medical Center of Fort WorthFort Worth | 16 | $471,521 | $36,053 | $25,344 |
| Tops Surgical Specialty HospitalHouston | 16 | $138,160 | $24,843 | $23,313 |
| Kell West Regional HospitalWichita Falls | 16 | $40,747 | $23,116 | $21,586 |
| The Hospital at Westlake Medical CenterAustin | 16 | $271,907 | $22,786 | $21,460 |
| Methodist Richardson Medical CenterRichardson | 15 | $80,306 | $25,265 | $23,851 |
| Good Shepherd Medical Center MarshallMarshall | 14 | $262,603 | $29,130 | $27,504 |
| St Davids HospitalAustin | 14 | $378,810 | $29,160 | $22,149 |
| North Central Surgical Center LLPDallas | 14 | $98,033 | $26,938 | $18,980 |
| Legent Orthopedic + SpineSan Antonio | 14 | $145,362 | $22,232 | $20,833 |
| St Lukes Episcopal HospitalHouston | 13 | $286,091 | $37,414 | $34,207 |
| Trinity Mother Frances SystTyler | 12 | $210,258 | $22,962 | $21,568 |
| Round Rock Medical CenterRound Rock | 12 | $424,722 | $24,361 | $22,865 |
| CHRISTUS St Michael Health SystemTexarkana | 12 | $184,946 | $23,672 | $22,279 |
| United Regional Hlth Care SystWichita Falls | 11 | $115,121 | $31,201 | $29,569 |
| Methodist Stone Oak HospitalSan Antonio | 11 | $233,870 | $28,938 | $19,183 |
| St Lukes Lakeside HospitalConroe | 11 | $218,388 | $28,759 | $21,330 |
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
| Baylor Surgical Hospital at las ColinasIrving, TX | $21,673 |
|---|---|
| Legent Orthopedic + SpineSan Antonio, TX | $22,232 |
| The Hospital at Westlake Medical CenterAustin, TX | $22,786 |
| Trinity Mother Frances SystTyler, TX | $22,962 |
| Kell West Regional HospitalWichita Falls, TX | $23,116 |
Highest
| Methodist Hospital,TheHouston, TX | $46,926 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $41,808 |
| Methodist Dallas Medical CenterDallas, TX | $40,624 |
| Baylor University Medical CenterDallas, TX | $39,139 |
| St Lukes Episcopal HospitalHouston, TX | $37,414 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 47 hospitals in Texas was billed at $205,828 on average, while the average total payment was $29,932, of which Medicare paid $23,959. 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 6.9 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.