CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Medical City Arlington

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $32,453
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Medical City Arlington is $32,453. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.38x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$32,453

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$23,503.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $23,503.93 (100%)
Insurance Median: $32,453 (138%)
Ins. Median: $32,453 (138% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $23,503.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2,433 - $30,506 10%
United $4,100 - $128,309 17%
Multiplan Phcs $11,348 48%
Humana $30,290 - $95,235 129%
Wellmed $30,815 131%
Amerigroup $30,908 132%
Blue Cross Blue Shield $30,908 132%
Integranet $30,908 132%
Triwest Veterans $30,908 132%
Wellcare $30,908 132%
Care N Care $31,217 133%
Cigna $31,526 - $148,870 134%
Devoted Health $31,526 134%
Mutual Of Omaha $31,526 134%
Provider Partners Health Plan $31,526 134%
Texas Independent Health Plan $31,526 134%
American Health Plan Of Texas, Inc. $32,453 138%
Procare Advantge $32,453 138%
Superior Health Plan $32,453 138%
Imperial Insurance Company $32,762 139%
Universal Healthcare Group $33,380 142%
Molina $33,689 143%
Verda Health Plan $33,998 145%
Bravo Health $34,308 146%
Fidelis Securecare $34,926 149%
Oscar $36,089 154%
Healthcare Highways $41,265 176%
Usa Managed Care $41,988 179%
Corvel Corporation $43,756 186%
Curative Administrators $44,088 188%
Evry Health $45,629 194%
Superior $55,325 - $69,233 235%
Molina Healthcare $58,764 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals