CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Medical City Weatherford

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $28,941
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Medical City Weatherford is $28,941. 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 1.23x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$28,941

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: $28,941 (123%)

Ins. Median: $28,941 (123% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$2,433 - $7,819	10%
United	$4,151 - $128,309	18%
Multiplan Phcs	$11,348	48%
Blue Cross Blue Shield	$27,403 - $27,962	117%
Humana	$27,403 - $95,235	117%
Wellmed	$27,878	119%
Amerigroup	$27,962	119%
Integranet	$27,962	119%
Triwest Veterans	$27,962	119%
Wellcare	$27,962	119%
Care N Care	$28,242	120%
Cigna	$28,521 - $138,125	121%
Devoted Health	$28,521	121%
Mutual Of Omaha	$28,521	121%
Provider Partners Health Plan	$28,521	121%
Texas Independent Health Plan	$28,521	121%
American Health Plan Of Texas, Inc.	$29,360	125%
Procare Advantge	$29,360	125%
Superior Health Plan	$29,360	125%
Imperial Insurance Company	$29,640	126%
Verda Health Plan	$30,758	131%
Oscar	$36,089	154%
Molina	$44,460	189%
Evry Health	$45,629	194%
Superior	$50,052 - $62,635	213%
Molina Healthcare	$56,286	239%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 451.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical City Weatherford is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 451.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.