CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Christus Spohn Hospital Corpus Christi

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $19,809
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Christus Spohn Hospital Corpus Christi is $19,809. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 0.84x the Medicare baseline. Located in 600 Elizabeth Street, Corpus Christi, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,809

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$23,503.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $23,503.93 (100%)
Insurance Median: $19,809 (84%)
Ins. Median: $19,809 (84% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $23,503.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2,828 - $45,138 12%
Healthcare Highways $3,503 15%
UnitedHealthcare $3,885 - $19,809 17%
Five Point Credit Union $4,190 - $10,056 18%
Multiplan $9,371 40%
Phcs $9,371 40%
Christus Health $18,818 - $27,732 80%
Allwell $19,809 84%
Blue Cross Blue Shield $19,809 - $34,100 84%
Coventry $19,809 84%
Humana $19,809 - $46,089 84%
Molina $19,809 84%
Superior $19,809 84%
Texas Healthspring $19,809 84%
Triwest $19,809 84%
Wellcare $19,809 84%
Provider Partners Health Plan $20,403 87%
Texas Independence Health Plan $20,403 87%
Shared Health Insurance Company $20,799 88%
Us Imaging Network $21,195 90%
Amerigroup $21,393 91%
Devoted Health Plan $21,393 91%
Imperial Health Plan $21,790 93%
Medicare (plans) $21,790 93%
Procare Advantage $21,790 93%
Cigna $27,009 - $33,026 115%
Naphcare Inc. $45,560 194%
Healthsmart $60,728 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Elizabeth Street, Corpus Christi, TX 78404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals