US Health Care Costs

Spinal fusion (lower or mid back) in Texas

MS-DRG 460: Spinal fusion except cervical without mcc

$152,189typical hospital bill
$28,944typical amount paid
$21,673–$46,926range paid across 47 hospitals

Texas hospitals billed Medicare a typical $152,189 for this stay in 2024, about 5.3 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)

HospitalCityMedicare staysBilledPaid
Baylor Surgical Hospital at Las ColinasIrving27$71,404$21,673
Legent Orthopedic + SpineSan Antonio14$145,362$22,232
The Hospital at Westlake Medical CenterAustin16$271,907$22,786
Christus Mother Frances HospitalTyler12$210,258$22,962
Kell West Regional HospitalWichita Falls16$40,747$23,116
Baylor Scott & White Texas Spine & Joint HospitalTyler76$78,555$23,414
Christus St Michael Health SystemTexarkana12$184,946$23,672
Baylor Scott & White Medical Center PlanoPlano20$109,654$24,282
Round Rock Medical CenterRound Rock12$424,722$24,361
Baylor Scott and White Surgical Hospital FortworthFort Worth61$74,985$24,605
Tops Surgical Specialty HospitalHouston16$138,160$24,843
South Texas Spine and Surgical HospitalSan Antonio82$91,021$24,942
Methodist Richardson Medical CenterRichardson15$80,306$25,265
Shannon Medical CenterSan Angelo28$126,616$25,476
Chi St Lukes Health Memorial LufkinLufkin16$155,983$25,838
Ut Health East Texas Tyler Regional HospitalTyler35$168,638$26,009
Paris Regional Medical CenterParis24$100,579$26,286
Quail Creek Surgical HospitalAmarillo18$95,118$26,765
North Central Surgical Center LlpDallas14$98,033$26,938
Longview Regional Medical CenterLongview35$358,005$27,111
Hendrick Medical CenterAbilene46$339,120$28,351
Chi St Lukes Lakeside HospitalThe Woodlands11$218,388$28,759
Methodist Hospital Stone OakSan Antonio11$233,870$28,938
Baylor Scott & White Medical Center - Round RockRound Rock41$90,573$28,944
Texas Health Harris Methodist Hospital Southwest FFort Worth46$116,021$29,080
Christus Good Shepherd Medical CenterLongview14$262,603$29,130
St David's Medical CenterAustin14$378,810$29,160
Methodist Hospital for SurgeryAddison47$90,946$29,819
Medical City PlanoPlano58$573,462$31,184
United Regional Health Care SystemWichita Falls11$115,121$31,201
Medical City Dallas HospitalDallas29$351,646$31,532
Ut of Texas Southwestern University Hospital - William P. Clements Jr.Dallas28$135,080$31,684
Baptist Medical CenterSan Antonio20$558,037$32,088
Oakbend Medical CenterRichmond30$132,198$32,270
Texas Health Harris Methodist Fort WorthFort Worth40$142,232$32,846
Houston Methodist Sugarland HospitalSugar Land21$352,563$33,849
Baylor Scott & White Medical Center - TempleTemple17$106,345$34,207
Memorial Hermann Hospital SystemHouston29$152,189$34,628
Texas Orthopedic HospitalHouston24$333,325$35,145
Ascension Seton Medical Center AustinAustin16$316,158$35,563
Medical City Fort WorthFort Worth16$471,521$36,053
Ascension Seton WilliamsonRound Rock17$316,950$36,987
Baylor St Lukes Medical CenterHouston13$286,091$37,414
Baylor University Medical CenterDallas30$126,215$39,139
Methodist Dallas Medical CenterDallas26$135,726$40,624
Memorial Hermann - Texas Medical CenterHouston31$253,995$41,808
Houston Methodist HospitalHouston55$407,245$46,926

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.