CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ascension Seton Medical Center Austin

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,084
about 1.1× the $23,504 Medicare rate · typically $16,840–$32,502
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,034
Below the fair price — a good deal
about $5,050 under the fair price · 0.9× Medicare
Medicare pays $23,504 Fair price $26,084 This hospital $21,034

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $12,081 Priciest $21,034

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,084 (about 1.1× the $23,504 Medicare rate). Ascension Seton Medical Center Austin charges insurers about $21,034 — below the fair price — a good deal. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $21,034 - $21,454 89%
Aetnamajor $21,034 89%
Humanamajor $21,034 89%
Ambetter (Centene) $37,861 161%
Devoted Health $21,034 89%
Oscar Health $9,379 40%
WellCare $21,034 89%
WellMed $20,613 88%
+ 13 smaller / regional plans $9,063 - $36,809
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1201 W 38Th St, Austin, TX 78705
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals