Texas / South Texas Spine and Surgical Hospital
CMS certification 450856 · San Antonio, TX · 2 entries in CMS's price-transparency list
South Texas Spine and Surgical Hospital: charges and Medicare payments
South Texas Spine and Surgical Hospital reported 353 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 4.23 times what it was paid — among the lower ratios in Texas, number 138 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 187 stays at an average charge of $59,158, 37% below the national average. It also billed 196 outpatient services, charging 5.45 times what Medicare paid.
- 1Medicare inpatient stays 353
- 2Charge ÷ paid, inpatient 4.23×
- 3Rank in TX (highest ratio = 1) 138 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 6 DRGs that can be compared with the national average, South Texas Spine and Surgical Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 187 | $59,158 | -37% | $13,256 |
| 460 Spinal Fusion except Cervical without MCC | 82 | $91,021 | -47% | $24,942 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 27 | $147,934 | -47% | $39,762 |
| 472 Cervical Spinal Fusion with CC | 26 | $98,283 | -31% | $18,992 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 20 | $159,716 | -21% | $32,119 |
| 473 Cervical Spinal Fusion without CC/MCC | 11 | $83,032 | -28% | $15,587 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Musculoskeletal Procedures | 81 | $34,809 | $6,024 |
| Level 5 Musculoskeletal Procedures | 51 | $57,465 | $11,023 |
| Level 5 Neurostimulator and Related Procedures | 23 | $93,657 | $25,769 |
| Level 3 Musculoskeletal Procedures | 15 | $13,767 | $2,768 |
| Level 1 Nerve Procedures | 15 | $7,877 | $1,675 |
| Level 6 Musculoskeletal Procedures | 11 | $60,990 | $16,137 |
Against the Texas average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), South Texas Spine and Surgical Hospital charged $59,158 on average, 49% less than the Texas average of $116,220, and was paid $13,256 against a state average of $15,157. For Spinal Fusion except Cervical without MCC (DRG 460), South Texas Spine and Surgical Hospital charged $91,021 on average, 57% less than the Texas average of $213,248, and was paid $24,942 against a state average of $30,622. For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), South Texas Spine and Surgical Hospital charged $147,934 on average, 67% less than the Texas average of $446,825, and was paid $39,762 against a state average of $54,675. For Cervical Spinal Fusion with CC (DRG 472), South Texas Spine and Surgical Hospital charged $98,283 on average, 45% less than the Texas average of $178,665, and was paid $18,992 against a state average of $25,128. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $34,809 was 41% below the state average of $58,833. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,465 was 42% below the state average of $98,771. For Level 5 Neurostimulator and Related Procedures (outpatient APC 5465), its average charge of $93,657 was 55% below the state average of $207,360. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $13,767 was 55% below the state average of $30,502.
Price-transparency record
CMS's enforcement list records these actions for a hospital named South Texas Spine and Surgical Hospital in San Antonio, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-10 (CMS case 774)
- Closure Notice — 2023-06-16 (CMS case 774)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.