Combined Anterior and Posterior Spinal Fusion with Mcc in Texas
MS-DRG 453: Combined anterior and posterior spinal fusion with mcc
$828,024typical hospital bill
$95,562typical amount paid
$63,597–$121,646range paid across 8 hospitals
Texas hospitals billed Medicare a typical $828,024 for this stay in 2024, about 8.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| St David's Medical Center | Austin | 11 | $707,920 | $63,597 | |
| Medical City Fort Worth | Fort Worth | 13 | $1,844,686 | $77,076 | |
| Baptist Medical Center | San Antonio | 12 | $911,647 | $87,822 | |
| Medical City Plano | Plano | 22 | $1,543,132 | $93,589 | |
| Baylor University Medical Center | Dallas | 13 | $427,307 | $97,536 | |
| Houston Methodist Hospital | Houston | 14 | $744,400 | $101,043 | |
| Memorial Hermann - Texas Medical Center | Houston | 17 | $728,067 | $115,992 | |
| Ascension Seton Medical Center Austin | Austin | 13 | $1,155,286 | $121,646 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.