Spinal fusion, single level (inpatient stay)
Facility: St David's Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $27,507 compared to the $27,232 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.01× 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 $27,232 (about 1.2× the $23,504 Medicare rate). St David's Medical Center charges insurers about $27,507 — about the fair price. Located in Austin, 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 | $2,781 - $59,970 | 12% |
| Blue Cross Blue Shieldmajor | $25,236 | 107% |
| Aetnamajor | $3,765 - $27,904 | 16% |
| Cignamajor | $5,963 - $25,993 | 25% |
| Humanamajor | $24,605 - $27,002 | 105% |
| Devoted Health | $25,740 | 110% |
| Healthcare Highways | $40,561 - $41,385 | 173% |
| Independent Health | $29,021 | 123% |
| Moda Health | $24,086 - $44,599 | 102% |
| Molina | $27,507 | 117% |
| Oscar Health | $28,473 - $31,637 | 121% |
| WellCare | $29,021 | 123% |
| WellMed | $24,908 | 106% |
| + 23 smaller / regional plans | $2,450 - $126,000 |
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 St David's Medical Center
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 St David's Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $23,964
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 = $23,964).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask St David's Medical Center'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 $27,232 Fair BaseRate ($23,504 Medicare)
Your bill ($66,017) is $38,785 above the denoised Fair BaseRate ($27,232) and 2.8× 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.