Spinal Fusion Cost in Texas — Compare All Hospitals
Spinal fusion surgery (non-cervical), used to treat severe degenerative disc disease, scoliosis, or vertebral instability.
What this hospital charge usually covers
The gross-charge number above is the hospital's facility bill for spinal fusion. Here's what's typically inside that price (typical inpatient stay: 2–5 days):
Included in the hospital bill
- Operating-room time (typically 3–6 hours for a single-level fusion)
- Inpatient room, nursing, medications during the stay
- Recovery-room and immediate post-op monitoring
- Intraoperative neuromonitoring (varies by hospital)
Usually billed separately
- Surgeon, anesthesiologist, and assistant-surgeon professional fees
- Pedicle-screw / cage / bone-graft hardware (sometimes itemized separately, sometimes bundled)
- Pre-surgical MRI, CT, and bone-density scans
- Outpatient physical therapy after discharge
Quality signals to check before picking a hospital
Price alone won't tell you which hospital does spinal fusion best. These are the CMS quality measures that matter most for this specific procedure. Click any hospital below for its full profile, then look for these:
Surgical-Site Infection
Spine hardware infections often require additional surgery to remove and replace — the stakes for SSI prevention are high.
Patient Safety Composite (PSI-90)
Captures the patient-safety indicators most relevant to long, complex inpatient surgery (DVT, post-op respiratory failure, accidental punctures).
30-Day Readmissions (hospital-wide)
Reflects discharge planning quality — important since spine fusion patients often have complex pain-management needs.
When the cheapest hospital may not be the best fit
The list below sorts by price. For spinal fusion, the lowest price isn't automatically the best fit — these are situations where it's worth weighing additional factors against price. None of the below is medical advice; talk to your doctor about what applies to your specific situation.
- For multi-level fusion or revision surgery, surgeon and hospital volume matter substantially — worth weighing against price.
- For prior failed spine surgery, high-volume academic centers tend to offer better outcomes on complex revisions.
- For patients with significant medical comorbidities (cardiac, pulmonary, diabetes), the hospital with the better PSI-90 score is usually worth the price difference.
Questions to ask your hospital or insurer
The gross charge is the starting point. These are the procedure-specific questions to ask before you commit:
- Are all hardware (screws, cages, bone graft) costs included in this estimate?
- How many spinal fusions at this level does the surgeon perform per year?
- What is the expected length of stay, and what happens to the bill if I stay longer?
- Will I need post-discharge inpatient rehab, and is that estimated separately?
Hospitals ranked by gross charge
- 1
Wilson N Jones Regional Medical Center
Sherman, TX
Gross charge $35,652Cash pay $10,696 - 2
Oakbend Medical Center
Richmond, TX
Gross charge $49,425Cash pay $9,885Medicare pays (avg) $31,183 - 3
Midland Memorial Hospital
Midland, TX
Gross charge $62,299Cash pay $15,575 - 4
United Regional Health Care System
Wichita Falls, TX
Gross charge $80,574Cash pay $76,545Medicare pays (avg) $29,569 - 5
Methodist Dallas Medical Center
Dallas, TX
Gross charge $86,652Cash pay $43,326Medicare pays (avg) $26,211 - 6
Methodist Richardson Medical Center
Richardson, TX
Gross charge $86,652Cash pay $43,326Medicare pays (avg) $23,851 - 7
Methodist Charlton Medical Center
Dallas, TX
Gross charge $86,652Cash pay $43,326 - 8
Methodist Mansfield Medical Center
Mansfield, TX
Gross charge $86,652Cash pay $43,326 - 9
Methodist Southlake Medical Center
Southlake, TX
Gross charge $86,652Cash pay $43,326 - 10
Methodist Midlothian Medical Center
Midlothian, TX
Gross charge $86,652Cash pay $43,326 - 11
Methodist Celina Medical Center
Celina, TX
Gross charge $86,652Cash pay $43,326 - 12
Paris Regional Health
Paris, TX
Gross charge $104,902Cash pay $36,716Medicare pays (avg) $24,722 - 13
BMC Baytown Hospital
Baytown, TX
Gross charge $123,169 - 14
West Chase Houston Hospital
Houston, TX
Gross charge $123,169 - 15
Hill Regional Hospital
Hillsboro, TX
Gross charge $126,312 - 16
Crescent Medical Center Lancaster
Lancaster, TX
Gross charge $273,586Cash pay $177,831 - 17Gross charge —Medicare pays (avg) $27,147
- 18
University Medical Center of El Paso
El Paso, TX
Gross charge — - 19
Laredo Medical Center (Acute Care)
Laredo, TX
Gross charge — - 20
Covenant Medical Center
Lubbock, TX
Gross charge — - 21
Baylor Scott & White Medical Center - Temple
Temple, TX
Gross charge —Medicare pays (avg) $25,431 - 22
St. Luke's Health - Brazosport Hospital - Lake Jackson, TX
Lake Jackson, TX
Gross charge — - 23
Baylor Scott & White Medical Center - Irving
Irving, TX
Gross charge — - 24Gross charge —
- 25
Medical Center Hospital
Odessa, TX
Gross charge — - 26
Baylor Scott & White All Saints Medical Center - Fort Worth
Fort Worth, TX
Gross charge — - 27Gross charge —
- 28
Grace Surgical Hospital
Lubbock, TX
Gross charge — - 29
Hendrick Medical Center
Abilene, TX
Gross charge —Medicare pays (avg) $26,091 - 30
Faith Community Hospital
Jacksboro, TX
Gross charge — - 31
Harris Health
Houston, TX
Gross charge — - 32
Baylor Scott & White The Heart Hospital - Waxahachie
Waxahachie, TX
Gross charge — - 33
Methodist Hospital
San Antonio, TX
Gross charge — - 34
Baylor Scott & White Medical Center - Uptown
Dallas, TX
Gross charge — - 35
Navarro Regional Hospital
Corsicana, TX
Gross charge — - 36
Matagorda Regional Medical Center
Bay City, TX
Gross charge — - 37
Woodland Heights Medical Center
Lufkin, TX
Gross charge — - 38
Covenant Hospital Plainview
Plainview, TX
Gross charge — - 39
Baylor Scott & White Medical Center - Grapevine
Grapevine, TX
Gross charge — - 40
Shannon Medical Center
San Angelo, TX
Gross charge —Medicare pays (avg) $22,714 - 41
Hendrick Medical Center Brownwood
Brownwood, TX
Gross charge — - 42
Lake Granbury Medical Center
Granbury, TX
Gross charge — - 43
Doctors Hospital of Laredo
Laredo, TX
Gross charge — - 44
Freestone Medical Center
Fairfield, TX
Gross charge — - 45Gross charge —
- 46
Dallas Regional Medical Center
Mesquite, TX
Gross charge — - 47
Longview Regional Medical Center (Acute Care)
Longview, TX
Gross charge —Medicare pays (avg) $22,796 - 48Gross charge —
- 49
Covenant Hospital Levelland
Levelland, TX
Gross charge — - 50
Physicians Centre,the
Bryan, TX
Gross charge — - 51Gross charge —
- 52
Baylor Scott & White Medical Center - Frisco
Frisco, TX
Gross charge — - 53
Harlingen Medical Center
Harlingen, TX
Gross charge — - 54
St Luke's the Woodlands Hospital
The Woodlands, TX
Gross charge — - 55
BSW Texas Spine & Joint Hospital
Tyler, TX
Gross charge —Medicare pays (avg) $21,091 - 56Gross charge —
- 57
Usmd Hospital at Arlington L P
Arlington, TX
Gross charge — - 58
Baylor Surgical Hospital at Las Colinas
Irving, TX
Gross charge —Medicare pays (avg) $17,778 - 59
Baylor Scott and White Surgical Hospital - Fort Worth
Fort Worth, TX
Gross charge —Medicare pays (avg) $18,778 - 60
Baylor Medical Center at Trophy Club
Trophy Club, TX
Gross charge — - 61Gross charge —
- 62Gross charge —Medicare pays (avg) $22,731
- 63Gross charge —
- 64
San Antonio VA Medical Center (va South Texas Healthcare System)
San Antonio, TX
Gross charge — - 65
Medina Regional Hospital
Hondo, TX
Gross charge — - 66
Coon Memorial Hospital
Dalhart, TX
Gross charge — - 67
Baylor Scott & White Medical Center - Taylor
Taylor, TX
Gross charge — - 68
Mid Coast Medical Center - Central
Llano, TX
Gross charge — - 69Gross charge —
- 70
Baylor Scott & White Medical Center – Round Rock
Round Rock, TX
Gross charge —Medicare pays (avg) $23,103 - 71
North Central Surgical Center Hospital
Dallas, TX
Gross charge —Medicare pays (avg) $18,981 - 72
St Luke's Sugar Land Hospital
Sugar Land, TX
Gross charge — - 73Gross charge —
- 74
Baylor Scott and White Orthopedic and Spine Hospi
Arlington, TX
Gross charge — - 75
St Luke's Hospital at the Vintage
Houston, TX
Gross charge — - 76Gross charge —
- 77
Baylor Scott & White Medical Center - McKinney
Mc Kinney, TX
Gross charge — - 78
Baylor Scott & White Medical Center - College Station
College Station, TX
Gross charge — - 79
Baylor Scott & White Medical Center - Marble Falls
Marble Falls, TX
Gross charge — - 80
Baylor Scott & White Medical Center - Pflugerville (Building 1)
Pflugerville, TX
Gross charge — - 81Gross charge —
- 82
Baylor Scott & White Medical Center - Austin
Austin, TX
Gross charge — - 83
Texas Health Hospital Mansfield
Mansfield, TX
Gross charge — - 84
Jps Health Network
Fort Worth, TX
Gross charge — - 85
North Texas Medical Center
Gainesville, TX
Gross charge — - 86
South Texas Health System
Edinburg, TX
Gross charge — - 87
HCA Houston Healthcare West
Houston, TX
Gross charge — - 88
University Medical Center
Lubbock, TX
Gross charge — - 89
Palestine Regional Medical Center (Acute Care)
Palestine, TX
Gross charge — - 90
HCA Houston Healthcare Pearland
Pearland, TX
Gross charge — - 91
Houston Methodist Cypress Hospital
Cypress, TX
Gross charge — - 92
CHRISTUS Outpatient Pavilion St. Elizabeth
Beaumont, TX
Gross charge — - 93
DeTar Hospital Navarro
Victoria, TX
Gross charge — - 94
Methodist Hospital Stone Oak
San Antonio, TX
Gross charge —Medicare pays (avg) $19,183 - 95Gross charge —
- 96
St. Luke's Health - Lakeside Hospital - The Woodlands, TX
The Woodlands, TX
Gross charge —Medicare pays (avg) $21,330
16 Texas hospitals publish gross charges for spinal fusion (DRG 460). Prices range from $35,652 to $273,586 — roughly 8×. The cheapest is Wilson N Jones Regional Medical Center in Sherman; the most expensive is Crescent Medical Center Lancaster in Lancaster. The state average sits at $99,103.
The number you see is each hospital's published "list price" — the gross charge for the facility component of spinal fusion. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists spinal fusion at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.
If you're scheduling spinal fusion in Texas, sort the list below by price, then click each hospital name to see its quality profile — CMS overall star rating, surgical-safety measures, readmission rates, patient-experience scores. The cheapest hospital isn't always the right call. Teaching hospitals often charge more because they take complex cases, and a higher-rated community hospital may deliver equivalent outcomes for a straightforward case at a lower price. Use the price column to narrow the field; use the quality data to make the final call.
Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. Texas hospitals missing from the list either don't perform spinal fusion in volume, haven't published a usable price for DRG 460 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.