CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,995
about 1.4× the $23,504 Medicare rate · typically $28,376–$47,971
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,946
About the fair price
about $1,951 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $31,995 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 $31,995 (about 1.4× the $23,504 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $33,946 — 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 $28,101 - $107,506 120%
Blue Cross Blue Shieldmajor $25,317 - $162,907 108%
Aetnamajor $52,471 - $69,960 223%
Cignamajor $84,144 - $98,375 358%
Humanamajor $26,329 112%
Amerigroup $26,582 113%
Cigna HealthSpring $25,823 110%
Molina $26,582 113%
WellCare $26,582 - $27,848 113%
+ 2 smaller / regional plans $25,317 - $62,555

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Facility Profile & Credentials

  • Address: 6200 W Parker Rd, Plano, TX 75093
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals