CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Memorial Hermann Hospital System

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,221
about 1.2× the $23,504 Medicare rate · typically $26,394–$36,371
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,083
About the fair price
about $138 under the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $29,221 This hospital $29,083

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 $29,083

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 $29,221 (about 1.2× the $23,504 Medicare rate). Memorial Hermann Hospital System charges insurers about $29,083 — about the fair price. Located in Houston, TX.

What each insurance company pays

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

6 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 $29,083 - $46,533 124%
Blue Cross Blue Shieldmajor $29,083 - $46,533 124%
Aetnamajor $29,083 - $47,988 124%
Cignamajor $29,083 124%
Humanamajor $29,083 124%
Kaiser Permanentemajor $29,083 124%
Devoted Health $29,083 124%
Molina $31,992 - $56,131 136%
Oscar Health $46,533 198%
WellCare $29,083 124%
+ 8 smaller / regional plans $28,211 - $55,258
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 1635 North Loop West, Houston, TX 77008
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals