CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Christus Mother Frances Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,607
about 1.1× the $23,504 Medicare rate · typically $20,765–$30,531
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,481
Below the fair price — a good deal
about $5,126 under the fair price · 0.9× Medicare
Medicare pays $23,504 Fair price $25,607 This hospital $20,481

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 3 charge more and 5 charge less, among the 9 TX hospitals compared.

Cheapest $12,081 Priciest $20,826

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 $25,607 (about 1.1× the $23,504 Medicare rate). Christus Mother Frances Hospital charges insurers about $20,481 — below the fair price — a good deal. Located in Tyler, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $4,398 - $19,231 19%
Blue Cross Blue Shieldmajor $19,231 - $31,144 82%
Aetnamajor $19,231 82%
Cignamajor $19,231 - $51,073 82%
Humanamajor $3,408 - $19,231 14%
Amerigroup $20,770 88%
Healthcare Highways $25,811 110%
WellCare $19,231 82%
+ 8 smaller / regional plans $18,270 - $26,924
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 East Dawson, Tyler, TX 75701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals