CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Matagorda Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,715
about 1.3× the $23,504 Medicare rate · typically $16,051–$38,238
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,114
Above the fair price
about $8,399 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $29,715 This hospital $38,114

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 $38,114

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 $29,715 (about 1.3× the $23,504 Medicare rate). Matagorda Regional Medical Center charges insurers about $38,114 — above the fair price. Located in Bay City, 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 $29,715. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $35,663 - $40,565 152%
Aetnamajor $35,663 152%
Humanamajor $35,663 152%
WellCare $35,663 152%
+ 2 smaller / regional plans $44,253 - $52,735
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 104 7Th Street, Bay City, TX 77414
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals