CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Texas Health Presbyterian Hospital Denton

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,781
about 1.4× the $23,504 Medicare rate · typically $28,520–$45,880
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,946
About the fair price
about $2,165 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $31,781 This hospital $33,946

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 $33,946

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 $31,781 (about 1.4× the $23,504 Medicare rate). Texas Health Presbyterian Hospital Denton charges insurers about $33,946 — about the fair price. Located in Denton, 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 $30,320 - $107,506 129%
Blue Cross Blue Shieldmajor $27,315 - $162,907 116%
Aetnamajor $52,471 - $69,960 223%
Cignamajor $84,144 - $98,375 358%
Humanamajor $28,408 121%
Amerigroup $28,681 122%
Cigna HealthSpring $27,862 119%
Molina $28,681 122%
WellCare $28,681 - $30,047 122%
+ 2 smaller / regional plans $27,315 - $62,555

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Facility Profile & Credentials

  • Address: 3000 N I-35, Denton, TX 76201
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals