Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical in Texas
MS-DRG 402: Single level combined anterior and posterior spinal fusion except cervical
$303,011typical hospital bill
$37,098typical amount paid
$25,670–$50,427range paid across 10 hospitals
Texas hospitals billed Medicare a typical $303,011 for this stay in 2024, about 8.2 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 | |
|---|---|---|---|---|---|
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler | 20 | $100,664 | $25,670 | |
| North Central Surgical Center Llp | Dallas | 16 | $83,580 | $26,301 | |
| Medical City Fort Worth | Fort Worth | 11 | $545,503 | $31,310 | |
| Methodist Hospital Stone Oak | San Antonio | 11 | $259,250 | $36,560 | |
| Medical City Dallas Hospital | Dallas | 16 | $502,441 | $36,719 | |
| Medical City Plano | Plano | 30 | $686,365 | $37,478 | |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | 12 | $137,427 | $40,225 | |
| Texas Orthopedic Hospital | Houston | 28 | $413,111 | $41,897 | |
| Houston Methodist Hospital | Houston | 14 | $346,772 | $44,256 | |
| Methodist Hospital for Surgery | Addison | 14 | $102,385 | $50,427 |
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.