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Inpatient stay · MS-DRG 551

Medical back problems with MCC

In 2024, Medicare and patients paid an average of $16,215 per stay at 465 hospitals. Half of hospitals averaged between $12,790 and $17,674.

National figures, 2024

Average payment per case
$16,215
Typical range (middle half of hospitals)
$12,790–$17,674
Medicare’s share
$13,31082% of the payment
Average billed charge
$86,481
Hospitals reporting
4658,932 stays

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.

Location
Texas
Specific hospitals up to 10
Average payment across these 34 hospitals
$13,646National $16,215 · Texas $13,646
Median hospital
$12,957
Lowest to highest
$9,519–$19,599
Medicare stays
615

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

Medicare payments per case for Medical back problems with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 67012217$9,51941% below the national average$8,463$65,433
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 45082016$10,36736% below the national average$9,041$67,337
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005520$10,75734% below the national average$9,533$86,345
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 67008217$10,87833% below the national average$9,822$48,264
Baptist Medical CenterSan Antonio, TX · CCN 45005815$11,28230% below the national average$9,781$107,807
Christus Mother Frances HospitalTyler, TX · CCN 45010214$11,55629% below the national average$10,577$93,085
Round Rock Medical CenterRound Rock, TX · CCN 45071812$11,74628% below the national average$10,386$154,917
Medical City DentonDenton, TX · CCN 45063422$12,00326% below the national average$10,438$155,136
Houston Methodist Willowbrook HospitalHouston, TX · CCN 45084412$12,06426% below the national average$11,112$48,393
Ascension Seton HaysKyle, TX · CCN 67005611$12,07326% below the national average$10,741$127,699
Medical City PlanoPlano, TX · CCN 45065142$12,20225% below the national average$10,082$135,786
St David's South Austin Medical CenterAustin, TX · CCN 45071318$12,22725% below the national average$11,071$105,760
Bsa HospitalAmarillo, TX · CCN 45023112$12,34324% below the national average$11,140$75,133
Texoma Medical CenterDenison, TX · CCN 45032418$12,45523% below the national average$11,071$95,936
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 45046214$12,59922% below the national average$11,082$57,685
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 45077114$12,73121% below the national average$11,565$60,630
Ascension Seton WilliamsonRound Rock, TX · CCN 67004113$12,89920% below the national average$11,677$85,383
Methodist HospitalSan Antonio, TX · CCN 45038828$13,01620% below the national average$10,986$120,420
Hendrick Medical CenterAbilene, TX · CCN 45022911$13,15419% below the national average$12,244$81,296
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013530$13,56316% below the national average$10,977$64,831
Covenant Medical CenterLubbock, TX · CCN 45004014$13,63116% below the national average$11,889$156,651
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 45008311$13,63616% below the national average$11,697$144,120
Medical City Dallas HospitalDallas, TX · CCN 45064713$13,91014% below the national average$12,736$110,793
HCA Houston Healthcare KingwoodKingwood, TX · CCN 45077522$14,12713% below the national average$12,387$170,884
Houston Methodist HospitalHouston, TX · CCN 45035829$15,001About average$12,165$75,280
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 45004415$15,030About average$10,766$51,742
Memorial Hermann Hospital SystemHouston, TX · CCN 45018433$15,153About average$13,968$61,444
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 45010712$15,181About average$13,165$147,654
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 45004611$15,248About average$14,359$71,996
Medical City ArlingtonArlington, TX · CCN 45067516$15,427About average$13,685$129,469
Baylor University Medical CenterDallas, TX · CCN 45002121$16,538About average$12,803$61,024
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 45005416$17,83910% above the national average$13,422$71,645
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001813$18,36413% above the national average$15,282$41,201
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 45006833$19,59921% above the national average$16,641$100,216

National trend

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

  • Average payment
  • Average billed charge
2020: 6,052 stays at 336 hospitals · 2021: 6,369 stays at 360 hospitals · 2022: 7,559 stays at 410 hospitals · 2023: 8,452 stays at 450 hospitals · 2024: 8,932 stays at 465 hospitals
View data as a table
National average payment and billed charge for Medical back problems with MCC
Year of careAverage paymentAverage billed charge
2020$14K$66K
2021$15K$73K
2022$16K$77K
2023$16K$81K
2024$16K$86K

By state, 2024

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

Show all 49 states
Average payment by state for Medical back problems with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont112$6,304$6,304–$6,304
Arkansas235$11,548$11,539–$11,586
Mississippi351$11,748$11,409–$11,965
Louisiana225$12,015$11,632–$12,639
Colorado358$12,369$12,295–$12,436
South Dakota112$13,041$13,041–$13,041
Florida45929$13,098$11,914–$13,853
Oklahoma5111$13,345$11,732–$13,360
Iowa5100$13,404$10,770–$12,881
Kansas6144$13,437$11,902–$13,469
Utah235$13,468$12,772–$14,452
Montana113$13,490$13,490–$13,490
Texas34615$13,646$12,066–$15,023
Ohio16298$13,903$12,122–$15,349
Missouri12227$14,234$11,587–$15,860
Idaho120$14,244$14,244–$14,244
Kentucky584$14,367$11,509–$17,394
Michigan15241$14,472$13,724–$15,146
Virginia14260$14,531$11,832–$14,313
Indiana9182$14,538$12,343–$15,080
Arizona8130$14,614$12,180–$15,299
South Carolina7124$14,733$12,128–$16,499
North Dakota240$14,816$14,455–$15,487
Illinois21408$14,955$11,896–$16,347
Pennsylvania23454$14,965$12,898–$16,135
Minnesota12210$15,100$12,774–$15,284
Nevada8146$15,154$13,852–$15,899
West Virginia124$15,415$15,415–$15,415
Delaware147$15,914$15,914–$15,914
Tennessee13272$15,936$12,583–$16,350
Alabama586$16,185$12,075–$22,003
New Hampshire569$16,342$12,484–$15,536
Nebraska365$16,493$14,956–$18,351
New Jersey17313$16,689$15,114–$17,967
North Carolina13232$16,801$12,486–$17,308
New Mexico113$17,054$17,054–$17,054
Washington9139$17,107$13,928–$18,397
Wisconsin593$17,108$12,613–$17,503
Maine123$17,294$17,294–$17,294
Massachusetts19438$17,340$13,660–$19,994
Rhode Island114$17,894$17,894–$17,894
Connecticut6104$18,607$17,236–$19,900
Hawaii126$18,920$18,920–$18,920
District of Columbia117$19,114$19,114–$19,114
Georgia9176$19,572$13,634–$17,501
New York30776$20,711$15,418–$22,670
Oregon224$20,780$18,009–$23,551
California50867$20,804$16,698–$22,060
Maryland9150$25,553$15,998–$34,725

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.