Spinal fusion, single level (inpatient stay)
Facility: Christus Mother Frances Hospital Sulphur Springs
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $21,702 compared to the $31,443 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.69× fair market pricing.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
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 $31,443 (about 1.3× the $23,504 Medicare rate). Christus Mother Frances Hospital Sulphur Springs charges insurers about $21,702 — below the fair price — a good deal. Located in Sulphur Springs, 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
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 | $20,970 | 89% |
| Blue Cross Blue Shieldmajor | $20,970 - $28,444 | 89% |
| Aetnamajor | $21,180 | 90% |
| Cignamajor | $20,970 | 89% |
| Humanamajor | $20,970 | 89% |
| Amerigroup | $22,648 | 96% |
| Healthcare Highways | $25,811 | 110% |
| WellCare | $20,970 | 89% |
| + 8 smaller / regional plans | $19,922 - $29,358 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Christus Mother Frances Hospital Sulphur Springs
Compare: Spinal fusion, single level (inpatient stay) at other TX hospitals
- Childrens Medical Ctr of Dallas · Dallas $12,081
- Childrens Medical Center Plano · Plano $12,081
- Burleson St Joseph Health Center · Caldwell $20,211
- Ascension Seton Southwest · Austin $20,240
- Ascension Seton Hays · Kyle $20,376
- Christus Mother Frances Hospital · Tyler $20,481
- Ascension Seton Northwest · Austin $20,494
- Ascension Providence · Waco $20,638
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Christus Mother Frances Hospital Sulphur Springs (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $18,907
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $18,907).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Christus Mother Frances Hospital Sulphur Springs's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $31,443 Fair BaseRate ($23,504 Medicare)
Your bill ($52,085) is $20,642 above the denoised Fair BaseRate ($31,443) and 2.2× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.