CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: HCA Houston Healthcare Tomball

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,254
about 1.2× the $23,504 Medicare rate · typically $25,218–$35,809
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,643
About the fair price
about $2,611 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,254 This hospital $26,643

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 $26,643

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 $29,254 (about 1.2× the $23,504 Medicare rate). HCA Houston Healthcare Tomball charges insurers about $26,643 — about the fair price. Located in Tomball, 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 $26,121 111%
Aetnamajor $16,516 - $34,918 70%
Cignamajor $25,860 - $75,129 110%
Humanamajor $25,311 - $47,390 108%
Amerigroup $26,121 111%
Devoted Health $26,643 113%
Healthcare Highways $39,304 167%
Independent Health $26,382 112%
Molina $28,472 - $46,586 121%
Oscar Health $25,598 - $43,460 109%
WellCare $26,382 112%
WellMed $25,860 110%
+ 11 smaller / regional plans $26,121 - $45,158
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 605 Holderrieth, Tomball, TX 77375
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals