CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: South Texas Health System

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,087
about 1.3× the $23,504 Medicare rate · typically $24,756–$36,052
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,438
Below the fair price — a good deal
about $6,649 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $31,087 This hospital $24,438

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 $24,438

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 $31,087 (about 1.3× the $23,504 Medicare rate). South Texas Health System charges insurers about $24,438 — below the fair price — a good deal. Located in Edinburg, 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 $23,920 - $46,145 102%
Blue Cross Blue Shieldmajor $23,688 - $35,322 101%
Aetnamajor $23,920 - $24,713 102%
Cignamajor $23,920 - $58,458 102%
Humanamajor $23,224 - $63,263 99%
Molina $24,385 - $31,352 104%
WellMed $23,697 101%
+ 3 smaller / regional plans $23,224 - $44,799

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Facility Profile & Credentials

  • Address: 1102 W Trenton Road, Edinburg, TX 78539
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals