CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Medical City Plano

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,892
about 1.3× the $23,504 Medicare rate · typically $24,471–$42,920
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,538
About the fair price
about $2,354 under the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $30,892 This hospital $28,538

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 $28,538

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 $30,892 (about 1.3× the $23,504 Medicare rate). Medical City Plano charges insurers about $28,538 — about the fair price. Located in Plano, 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 $4,100 - $128,309 17%
Blue Cross Blue Shieldmajor $25,632 109%
Aetnamajor $2,599 - $25,375 11%
Cignamajor $26,224 - $175,947 112%
Humanamajor $25,195 - $95,235 107%
Amerigroup $25,710 109%
Devoted Health $26,224 112%
Fidelis Care $29,052 124%
Healthcare Highways $41,265 176%
Independent Health $26,224 112%
Molina $28,024 - $56,619 119%
Oscar Health $36,089 154%
WellCare $25,710 109%
WellMed $25,633 109%
+ 13 smaller / regional plans $25,710 - $57,590
Government programs also on file: Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (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: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals