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★ Texas · back & spine

Back & spine settlements
in Texas.

By Reviewed by Abd Shanti, Founder9 min read

Texas measures medical damages by what was actually paid. A driver who needed neck and shoulder surgeries had $110,069 in bills, and the Supreme Court held he could recover only the $27,739 his providers could lawfully charge.

Facts that decide a back & spine claim in Texas

Medical billsRecovery of medical expenses is “limited to the amount actually paid or incurred by or on behalf of the claimant”; amounts a provider may not charge are excluded.Tex. Civ. Prac. & Rem. Code § 41.0105; Haygood v. De Escabedo (Tex. 2011)
Future medical costsAn award for future medical expenses needs evidence of the care reasonably likely to be required; a jury’s $120,000 future medical award was set aside for lack of it.LMMM Houston 41 v. Santibanez (Tex. App. 2018)
Deadline to sueA person must bring suit for personal injury “not later than two years after the day the cause of action accrues,” and must use diligence to serve the defendant.Tex. Civ. Prac. & Rem. Code § 16.003(a), as quoted in Carias v. Owens (Tex. App. 2022)
Fault rule“A claimant may not recover damages if his percentage of responsibility is greater than 50 percent”; at 50% or less, damages are reduced by that share.Tex. Civ. Prac. & Rem. Code § 33.001, as quoted in GEICO County Mutual v. Bogale (Tex. App. 2019)
Seat belt useAdmissible to apportion responsibility when relevant to the injuries.Nabors Well Services v. Romero (Tex. 2015), in the MyClaimWorth seat belt chart
Texas jury awardsIn 21 Texas jury verdicts for a herniated or bulging disc from 2018 to 2025, the median award was $157,540, from $0 to more than $12 million; four disc awards were cut or reversed for lack of expert proof that the crash caused the injury.MyClaimWorth review of 57 Texas car crash appeals, November 2026
★ TX · reported back & spine outcomes

What Texas courts have awarded.

Real Texas decisions and verdicts, each linked to the court record or official report.

  • Texas Supreme Court · 2011
    $110,069.12 billed; recovery limited to $27,739.43

    Aaron Haygood’s car collided with a minivan pulling out of a grocery store lot. His injuries required surgeries on his neck and shoulder; both succeeded, but some impairment remained. Twelve providers billed $110,069.12, but because he was on Medicare they adjusted the bills by $82,329.69, leaving $27,739.43. The Court held the collateral source rule does not allow recovery of charges a provider is not entitled to collect.

  • Texas Court of Appeals · 2018
    $120,000 future medical award set aside; affirmed

    In 2013 Santibanez slipped on pork lard near the produce aisle of a La Michoacana Meat Market and fell hard on his face, knees and back. The store’s clinic found lower back swelling, and he later had emergency, chiropractic and MRI care. The jury awarded $120,000 for future medical expenses, but the trial court granted judgment notwithstanding the verdict on that item for lack of evidence, and the Court of Appeals affirmed.

★ TX · back & spine · in practice

What changes the number here.

What actually moves a back & spine settlement in Texas.

  1. 1

    Know the paid figure early. Haygood’s medical damages were a quarter of the bills because Medicare limited what providers could charge.

  2. 2

    Future care needs a doctor’s plan. Santibanez lost a $120,000 future medical award because no evidence showed what care he would need or what it would cost.

  3. 3

    Pain and impairment are separate from bills. Haygood’s surgeries succeeded but left some impairment, which is compensated apart from the medical figure.

★ TX · statute of limitations
2 years from date of injury

Tex. Civ. Prac. & Rem. Code § 16.003

★ TX · fault rule
Modified comparative, 51% bar

Modified comparative, recovery barred at 51% claimant fault.

★ TX · caps

What caps recovery.

Statutory caps that may bear on a back & spine settlement in Texas.

★ back & spine · same region & fault regime

Compare to like jurisdictions.

How Texas's fault rule and limitation period compare to jurisdictions in the same US region and to those running the same fault rule for back & spine claims.

JurisdictionFault ruleLimitationBack & spine page
Texas · you are hereModified comparative, 51% bar2 years from date of injury—
VirginiaPure contributory negligence2 years from date of injuryVA · back & spine →
West VirginiaModified comparative, 51% bar2 years from date of injuryWV · back & spine →
AlabamaPure contributory negligence2 years from date of injuryAL · back & spine →
ArkansasModified comparative, 50% bar3 years for personal injury; 2 years for medical malpracticeAR · back & spine →
FloridaModified comparative, 51% bar2 years from date of injury (was 4; reduced by HB 837)FL · back & spine →
GeorgiaModified comparative, 50% bar2 years from date of injuryGA · back & spine →
VermontModified comparative, 51% bar3 years from date of injuryVT · back & spine →
WisconsinModified comparative, 51% bar3 years from date of injuryWI · back & spine →
WyomingModified comparative, 51% bar4 years from date of injuryWY · back & spine →
ConnecticutModified comparative, 51% bar2 years from date of injuryCT · back & spine →
UtahModified comparative, 50% bar4 years for personal injury; 2 years for medical malpracticeUT · back & spine →
WashingtonPure comparative negligence3 years from date of injuryWA · back & spine →
★ TX · back & spine · frequently asked

Common questions.

Each answer is independently coherent and references the relevant statute or authority document.

★ editorial note

Figures on this page are not quotes for any specific case. For representation, consult an attorney admitted in Texas. See /methodology, /sources, and /disclaimer.