CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,087
about 1.2× the $23,504 Medicare rate · typically $25,167–$36,066
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,624
About the fair price
about $2,463 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,087 This hospital $26,624

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 $26,624

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 $29,087 (about 1.2× the $23,504 Medicare rate). HCA Houston Healthcare Medical Center charges insurers about $26,624 — about the fair price. Located in Houston, 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 $2,591 - $37,000 11%
Blue Cross Blue Shieldmajor $25,600 109%
Aetnamajor $16,516 - $34,918 70%
Cignamajor $25,344 - $75,129 108%
Humanamajor $24,806 - $47,390 106%
Amerigroup $26,112 111%
Devoted Health $26,112 111%
Healthcare Highways $39,304 167%
Independent Health $26,624 113%
Molina $27,904 - $47,603 119%
Oscar Health $25,088 - $43,460 107%
WellCare $26,624 113%
WellMed $25,344 108%
+ 10 smaller / regional plans $25,856 - $45,158
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals