CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Corpus Christi Medical Center,The

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $27,546
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Corpus Christi Medical Center,The is $27,546. 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 1.17x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$27,546

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: $27,546 (117%)

Ins. Median: $27,546 (117% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Multiplan Phcs	$2,400 - $3,400	10%
Aetna	$2,480 - $27,352	11%
United	$2,751 - $47,249	12%
Cigna	$4,248 - $29,929	18%
Humana	$26,798 - $33,787	114%
Wellmed	$26,964	115%
Blue Cross Blue Shield	$27,712	118%
Texas Healthcare Foundation	$27,712	118%
Triwest Healthcare Alliance	$27,712	118%
Physicians Health Choice	$28,267 - $29,098	120%
Provider Partners Health Plan Of Texas	$28,267	120%
American Health Plan	$29,098	124%
Superior Health Plan	$29,098	124%
Shared Health	$29,652	126%
Molina	$30,206	129%
Pyramid Life	$30,484	130%
Texas Independent Health Plan	$30,484	130%
Fidelis Securecare Of Tx	$31,315	133%
Corvel Corporation	$39,232	167%
Omni Healthcare	$41,610	177%
Curative Administrators	$44,088	188%
Superior	$44,672	190%
Independent Medical System	$45,016	192%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 451.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Corpus Christi Medical Center,The is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 451.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.