Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Texas
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$159,716typical hospital bill
$35,443typical amount paid
$28,912–$60,453range paid across 33 hospitals
Texas hospitals billed Medicare a typical $159,716 for this stay in 2024, about 4.5 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)
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.