CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,739
about 1.4× the $23,504 Medicare rate · typically $26,758–$48,620
modeled estimate · not a bill or quote
What this hospital charges insurers
$52,468
Above the fair price
about $20,729 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $31,739 This hospital $52,468

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 $52,468

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 $31,739 (about 1.4× the $23,504 Medicare rate). Texas Health Presbyterian Hospital Kaufman charges insurers about $52,468 — above the fair price. Located in Kaufman, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $31,739. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $34,668 - $107,506 147%
Blue Cross Blue Shieldmajor $31,232 - $162,907 133%
Aetnamajor $52,468 - $69,955 223%
Cignamajor $84,144 - $98,375 358%
Humanamajor $32,482 138%
Amerigroup $32,794 140%
Cigna HealthSpring $31,857 136%
Molina $32,794 140%
WellCare $32,794 - $34,355 140%
+ 2 smaller / regional plans $31,232 - $62,555

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 850 Ed Hall, Kaufman, TX 75142
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals