Inpatient stay · MS-DRG 454 · Surgery or procedure
Combined anterior and posterior spinal fusion with CC
In 2024, Medicare and patients paid an average of $59,319 per stay at 491 hospitals. Half of hospitals averaged between $46,725 and $64,536.
Also known as: Spinal fusion, back surgery, spine surgery
National figures, 2024
- Average payment per case
- $59,319
- Typical range (middle half of hospitals)
- $46,725–$64,536
- Medicare’s share
- $49,529
- Average billed charge
- $289,584
- Hospitals reporting
- 491
Hospitals in Texas
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
- Average payment across these 36 hospitals
- $56,531
- Median hospital
- $49,255
- Lowest to highest
- $38,127–$120,448
- Medicare stays
- 1,168
36 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Methodist Hospital For Surgery | 20 | $38,127 | 36% below the national average | $36,740 | $115,249 |
| Baylor Scott & White Texas Spine & Joint Hospital | 49 | $39,595 | 33% below the national average | $36,480 | $104,652 |
| South Texas Spine And Surgical Hospital | 27 | $39,762 | 33% below the national average | $35,590 | $147,934 |
| Baylor Scott And White Surgical Hospital Fortworth | 21 | $40,028 | 33% below the national average | $38,629 | $124,953 |
| Round Rock Medical Center | 12 | $41,169 | 31% below the national average | $39,537 | $572,585 |
| Texas Health Presbyterian Hospital Flower Mound | 18 | $41,215 | 31% below the national average | $39,674 | $167,455 |
| Quail Creek Surgical Hospital | 15 | $42,013 | 29% below the national average | $29,686 | $141,153 |
| The Hospitals Of Providence - East Campus | 13 | $43,593 | 27% below the national average | $41,961 | $665,430 |
| Texas Orthopedic Hospital | 131 | $43,786 | 26% below the national average | $38,720 | $469,307 |
| North Central Surgical Center LLP | 53 | $44,070 | 26% below the national average | $37,728 | $115,683 |
| Medical City Denton | 13 | $46,662 | 21% below the national average | $45,002 | $702,818 |
| UT Health East Texas Tyler Regional Hospital | 15 | $46,763 | 21% below the national average | $39,628 | $211,205 |
| Texas Health Harris Methodist Fort Worth | 38 | $46,927 | 21% below the national average | $45,460 | $230,740 |
| Christus Mother Frances Hospital | 12 | $47,564 | 20% below the national average | $36,092 | $233,561 |
| Methodist Hospital Stone Oak | 49 | $47,681 | 20% below the national average | $37,771 | $334,547 |
| Legent Orthopedic Hospital | 12 | $47,810 | 19% below the national average | $38,684 | $251,939 |
| Corpus Christi Medical Center,The | 17 | $47,976 | 19% below the national average | $39,443 | $467,973 |
| Baylor Scott And White Orthopedic And Spine Hospi | 15 | $48,215 | 19% below the national average | $39,614 | $190,634 |
| Baylor Scott & White Medical Center Plano | 19 | $50,296 | 15% below the national average | $34,934 | $167,591 |
| St David's Medical Center | 62 | $51,041 | 14% below the national average | $36,011 | $455,927 |
| Baylor Scott & White Medical Center - Round Rock | 27 | $51,106 | 14% below the national average | $37,583 | $125,318 |
| Baptist Medical Center | 25 | $53,522 | About average | $43,408 | $734,962 |
| Memorial Hermann Hospital System | 21 | $53,562 | About average | $41,438 | $197,529 |
| Medical City Dallas Hospital | 65 | $53,857 | About average | $43,485 | $741,265 |
| Houston Methodist Sugarland Hospital | 27 | $55,180 | About average | $53,669 | $468,619 |
| Longview Regional Medical Center | 27 | $55,697 | About average | $40,215 | $639,881 |
| Texas Health Arlington Memorial Hospital | 12 | $57,617 | About average | $38,980 | $212,715 |
| Christus Spohn Hospital Corpus Christi | 15 | $63,832 | About average | $40,015 | $391,218 |
| Medical City Lewisville | 18 | $69,075 | 16% above the national average | $52,671 | $1,092,795 |
| Memorial Hermann - Texas Medical Center | 22 | $70,761 | 19% above the national average | $57,498 | $336,105 |
| HCA Houston Healthcare Kingwood | 11 | $71,177 | 20% above the national average | $42,511 | $658,945 |
| Baylor University Medical Center | 25 | $71,958 | 21% above the national average | $49,942 | $281,671 |
| Medical City Plano | 111 | $73,104 | 23% above the national average | $49,244 | $1,035,135 |
| Houston Methodist Hospital | 70 | $74,584 | 26% above the national average | $62,725 | $621,177 |
| Medical City Fort Worth | 39 | $74,699 | 26% above the national average | $52,081 | $1,046,408 |
| Ascension Seton Medical Center Austin | 42 | $120,448 | 103% above the national average | $89,065 | $965,012 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $52K | $228K |
| 2021 | $54K | $244K |
| 2022 | $55K | $261K |
| 2023 | $57K | $276K |
| 2024 | $59K | $290K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 47 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Mississippi | 1 | 12 | $41,139 | $41,139–$41,139 |
| Louisiana | 5 | 150 | $42,824 | $38,762–$50,171 |
| West Virginia | 1 | 13 | $43,266 | $43,266–$43,266 |
| Alabama | 10 | 190 | $43,403 | $38,740–$44,676 |
| Nebraska | 5 | 149 | $45,044 | $43,027–$46,070 |
| North Dakota | 4 | 66 | $45,602 | $44,285–$46,214 |
| Kansas | 9 | 219 | $46,229 | $39,656–$51,712 |
| Oklahoma | 8 | 229 | $46,658 | $39,595–$46,022 |
| Arkansas | 3 | 76 | $46,683 | $42,140–$48,632 |
| Tennessee | 15 | 433 | $48,308 | $44,966–$51,245 |
| Utah | 7 | 177 | $48,718 | $47,079–$48,375 |
| South Dakota | 4 | 75 | $48,875 | $43,706–$56,740 |
| Indiana | 12 | 235 | $50,513 | $44,154–$52,390 |
| Idaho | 3 | 132 | $51,207 | $51,212–$52,570 |
| Florida | 40 | 1,080 | $51,655 | $44,352–$55,483 |
| Vermont | 1 | 12 | $52,123 | $52,123–$52,123 |
| Iowa | 2 | 57 | $52,238 | $44,831–$51,696 |
| South Carolina | 11 | 214 | $52,374 | $45,324–$55,695 |
| Missouri | 10 | 247 | $52,630 | $42,957–$48,184 |
| Montana | 2 | 30 | $53,205 | $51,598–$55,981 |
| North Carolina | 16 | 492 | $53,600 | $49,744–$56,106 |
| Ohio | 19 | 637 | $54,526 | $47,162–$59,494 |
| Kentucky | 4 | 161 | $55,562 | $49,647–$61,347 |
| Delaware | 1 | 56 | $55,637 | $55,637–$55,637 |
| Michigan | 18 | 345 | $55,769 | $47,846–$57,172 |
| Colorado | 14 | 490 | $55,789 | $50,431–$63,036 |
| Wisconsin | 5 | 88 | $56,371 | $50,440–$61,252 |
| Texas | 36 | 1,168 | $56,531 | $43,999–$59,171 |
| Pennsylvania | 22 | 563 | $57,542 | $46,871–$62,420 |
| Virginia | 16 | 508 | $57,588 | $45,890–$67,364 |
| Nevada | 4 | 108 | $57,897 | $56,490–$59,286 |
| Georgia | 14 | 304 | $58,015 | $48,226–$64,755 |
| Arizona | 17 | 458 | $58,251 | $50,499–$58,476 |
| Minnesota | 13 | 464 | $59,096 | $46,269–$52,763 |
| Oregon | 7 | 150 | $62,381 | $58,332–$64,869 |
| New Jersey | 3 | 72 | $62,408 | $60,419–$63,765 |
| Rhode Island | 2 | 40 | $62,518 | $61,549–$68,007 |
| Washington | 15 | 352 | $63,129 | $54,996–$67,386 |
| Illinois | 17 | 432 | $63,620 | $49,705–$72,518 |
| Massachusetts | 11 | 323 | $64,886 | $54,568–$71,231 |
| New Mexico | 1 | 11 | $71,657 | $71,657–$71,657 |
| District of Columbia | 3 | 98 | $72,940 | $69,921–$73,171 |
| Maryland | 8 | 284 | $73,655 | $54,785–$88,270 |
| Connecticut | 7 | 149 | $74,363 | $67,835–$78,241 |
| California | 44 | 1,512 | $77,041 | $63,620–$80,973 |
| Alaska | 2 | 75 | $78,824 | $67,362–$77,536 |
| New York | 19 | 643 | $79,008 | $54,250–$83,472 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.