Single Level Spinal Fusion Except Cervical Without Mcc in Texas
MS-DRG 451: Single level spinal fusion except cervical without mcc
$68,293typical hospital bill
$23,569typical amount paid
$20,255–$26,635range paid across 5 hospitals
Texas hospitals billed Medicare a typical $68,293 for this stay in 2024, about 2.9 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 | |
|---|---|---|---|---|---|
| Kell West Regional Hospital | Wichita Falls | 12 | $35,359 | $20,255 | |
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler | 12 | $67,437 | $20,257 | |
| Baylor Scott and White Surgical Hospital Fortworth | Fort Worth | 13 | $68,293 | $23,569 | |
| Hendrick Medical Center | Abilene | 11 | $288,374 | $24,173 | |
| Houston Methodist Hospital | Houston | 14 | $275,973 | $26,635 |
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.