CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St David's Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,372
about 1.0× the $23,504 Medicare rate · typically $12,824–$30,149
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,976
About the fair price
about $1,604 over the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $24,372 This hospital $25,976

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 $25,976

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 $24,372 (about 1.0× the $23,504 Medicare rate). St David's Medical Center charges insurers about $25,976 — 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

✓ 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 $2,781 - $59,970 12%
Blue Cross Blue Shieldmajor $25,220 107%
Aetnamajor $3,463 - $26,985 15%
Cignamajor $5,963 - $25,976 25%
Humanamajor $25,724 - $26,985 109%
Devoted Health $25,724 109%
Healthcare Highways $40,561 - $41,385 173%
Independent Health $25,724 - $29,003 109%
Moda Health $24,086 - $44,599 102%
Molina $27,490 117%
Oscar Health $28,473 - $31,637 121%
WellCare $25,724 - $29,003 109%
WellMed $24,892 106%
+ 31 smaller / regional plans $2,450 - $126,000
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals