Inpatient stay · MS-DRG 455 · Surgery or procedure

Combined anterior and posterior spinal fusion without CC/MCC

In 2024, Medicare and patients paid an average of $40,610 per stay at 421 hospitals. Half of hospitals averaged between $34,014 and $46,642.

Also known as: Spinal fusion, back surgery, spine surgery

National figures, 2024

Average payment per case: $40,610
Typical range (middle half of hospitals): $34,014–$46,642
Medicare’s share: $33,84783% of the payment
Average billed charge: $204,067
Hospitals reporting: 42110,551 stays

Hospitals in Texas

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Year of care

Average payment across these 33 hospitals: $38,380National $40,610 · Texas $38,380
Median hospital: $35,443
Lowest to highest: $28,912–$60,453
Medicare stays: 837

33 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Combined anterior and posterior spinal fusion without CC/MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
The Physicians CentreBryan, TX · CCN 450834	14	$28,912	29% below the national average	$25,043	$84,982
The Hospital At Westlake Medical CenterAustin, TX · CCN 670006	23	$29,324	28% below the national average	$27,834	$292,213
Kell West Regional HospitalWichita Falls, TX · CCN 450827	31	$30,173	26% below the national average	$28,225	$48,883
North Central Surgical Center LLPDallas, TX · CCN 670049	49	$30,472	25% below the national average	$28,096	$94,947
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	23	$30,550	25% below the national average	$28,989	$126,395
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	15	$31,119	23% below the national average	$27,163	$307,081
CHI St Lukes Lakeside HospitalThe Woodlands, TX · CCN 670059	11	$31,273	23% below the national average	$29,641	$176,942
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	42	$31,350	23% below the national average	$27,845	$108,169
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	57	$31,482	22% below the national average	$26,581	$89,901
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112	16	$31,950	21% below the national average	$25,925	$283,330
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	32	$31,965	21% below the national average	$28,111	$252,631
Northwest Hills Surgical HospitalAustin, TX · CCN 450808	24	$32,029	21% below the national average	$24,920	$169,812
South Texas Spine And Surgical HospitalSan Antonio, TX · CCN 450856	20	$32,119	21% below the national average	$27,721	$159,716
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	19	$33,553	17% below the national average	$25,005	$121,090
Legent Orthopedic HospitalGrapevine, TX · CCN 670265	16	$34,123	16% below the national average	$29,003	$270,581
Ascension ProvidenceWaco, TX · CCN 450042	25	$35,048	14% below the national average	$31,036	$157,336
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	21	$35,443	13% below the national average	$30,017	$116,993
Longview Regional Medical CenterLongview, TX · CCN 450702	20	$36,440	10% below the national average	$29,163	$514,560
Baylor University Medical CenterDallas, TX · CCN 450021	15	$37,241	About average	$34,511	$138,551
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	19	$37,955	About average	$27,976	$130,449
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	29	$38,436	About average	$32,659	$180,053
Methodist Dallas Medical CenterDallas, TX · CCN 450051	11	$39,965	About average	$26,582	$139,386
Baptist Medical CenterSan Antonio, TX · CCN 450058	23	$40,472	About average	$28,287	$537,029
Methodist Hospital For SurgeryAddison, TX · CCN 670073	23	$40,584	About average	$23,557	$94,358
Baylor Surgical Hospital At Las ColinasIrving, TX · CCN 450874	20	$41,519	About average	$25,409	$124,099
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	17	$43,462	About average	$26,436	$183,021
Christus St Michael Health SystemTexarkana, TX · CCN 450801	11	$44,169	About average	$24,427	$177,226
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	19	$45,262	11% above the national average	$30,944	$152,111
Medical City PlanoPlano, TX · CCN 450651	53	$45,318	12% above the national average	$31,486	$685,046
Medical City Dallas HospitalDallas, TX · CCN 450647	52	$48,021	18% above the national average	$29,126	$537,505
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	32	$52,949	30% above the national average	$35,838	$152,247
Medical City Fort WorthFort Worth, TX · CCN 450672	18	$59,472	46% above the national average	$30,574	$712,486
Houston Methodist HospitalHouston, TX · CCN 450358	37	$60,453	49% above the national average	$53,345	$510,198

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 16,057 stays at 573 hospitals · 2021: 13,204 stays at 487 hospitals · 2022: 15,592 stays at 552 hospitals · 2023: 15,538 stays at 561 hospitals · 2024: 10,551 stays at 421 hospitals

View data as a table

National average payment and billed charge for Combined anterior and posterior spinal fusion without CC/MCC
Year of care	Average payment	Average billed charge
2020	$38K	$165K
2021	$39K	$177K
2022	$40K	$187K
2023	$41K	$195K
2024	$41K	$204K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 47 states

Average payment by state for Combined anterior and posterior spinal fusion without CC/MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Louisiana	7	368	$29,337	$28,627–$32,376
Oklahoma	9	340	$30,910	$30,377–$31,350
Alabama	7	264	$31,252	$28,632–$32,027
Mississippi	2	37	$31,693	$31,166–$31,827
Iowa	2	27	$31,790	$30,979–$32,731
Arkansas	5	98	$31,816	$28,891–$33,666
South Dakota	2	77	$32,180	$31,432–$32,061
Nebraska	3	158	$32,180	$31,218–$32,664
Kansas	5	173	$33,051	$28,786–$39,910
New Mexico	1	25	$33,328	$33,328–$33,328
North Dakota	1	15	$33,399	$33,399–$33,399
Missouri	10	257	$34,482	$31,832–$35,369
Idaho	5	134	$35,233	$34,172–$40,249
Tennessee	16	376	$35,392	$33,751–$38,615
Montana	3	61	$35,987	$34,954–$37,229
Indiana	13	289	$36,585	$31,816–$39,486
Utah	9	222	$37,240	$33,853–$39,829
South Carolina	14	326	$37,378	$33,033–$39,476
Texas	33	837	$38,380	$31,482–$41,519
Florida	31	776	$38,460	$34,604–$43,251
Ohio	11	230	$38,709	$37,694–$40,669
Wisconsin	2	25	$39,412	$36,683–$41,084
North Carolina	18	498	$39,708	$33,597–$42,277
Virginia	17	425	$40,120	$34,114–$42,941
Arizona	20	476	$40,225	$35,318–$42,925
Colorado	11	281	$40,789	$34,706–$45,317
Georgia	16	400	$40,933	$37,796–$47,443
Illinois	8	212	$41,417	$36,165–$48,293
Michigan	10	168	$42,003	$37,861–$46,623
Delaware	1	76	$42,605	$42,605–$42,605
Washington	15	329	$43,088	$40,287–$46,395
Pennsylvania	14	312	$43,725	$35,887–$46,433
Minnesota	5	100	$45,219	$37,959–$45,167
Nevada	4	94	$45,788	$44,298–$47,080
West Virginia	1	11	$46,184	$46,184–$46,184
New Jersey	5	71	$46,324	$43,957–$47,519
Massachusetts	10	238	$46,519	$40,831–$51,110
Rhode Island	1	27	$47,330	$47,330–$47,330
Oregon	5	101	$47,344	$42,539–$51,282
Kentucky	4	63	$47,845	$40,528–$53,136
District of Columbia	1	71	$52,117	$52,117–$52,117
California	42	1,010	$52,399	$47,010–$57,096
Connecticut	4	63	$52,846	$45,912–$57,388
Maryland	7	125	$54,161	$48,334–$61,721
New York	8	225	$56,983	$42,358–$62,679
Alaska	2	34	$66,371	$60,343–$74,008
Wyoming	1	26	$73,892	$73,892–$73,892

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.