CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Hill Country Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,606
about 1.3× the $23,504 Medicare rate · typically $26,051–$45,094
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,890
Below the fair price — a good deal
about $4,716 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $30,606 This hospital $25,890

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 $25,890

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 $30,606 (about 1.3× the $23,504 Medicare rate). Hill Country Memorial Hospital charges insurers about $25,890 — below the fair price — a good deal. Located in Fredericksburg, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $2,988 - $55,282 13%
Blue Cross Blue Shieldmajor $25,383 108%
Aetnamajor $2,775 - $25,053 12%
Cignamajor $5,717 - $7,569 24%
Healthcare Highways $42,641 181%
Molina $40,358 172%
WellCare $25,890 110%
WellMed $24,469 104%
+ 4 smaller / regional plans $25,129 - $44,088
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals