CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Texas Orthopedic Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,667
about 1.3× the $23,504 Medicare rate · typically $22,980–$39,222
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,714
Below the fair price — a good deal
about $4,953 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,667 This hospital $24,714

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 $24,714

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 $29,667 (about 1.3× the $23,504 Medicare rate). Texas Orthopedic Hospital charges insurers about $24,714 — below the fair price — a good deal. Located in Houston, 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 $3,368 - $40,933 14%
Blue Cross Blue Shieldmajor $23,097 98%
Aetnamajor $2,415 - $111,445 10%
Cignamajor $22,866 - $78,970 97%
Humanamajor $22,381 - $47,390 95%
Amerigroup $23,097 - $23,559 98%
Devoted Health $23,559 100%
Fidelis Care $25,869 110%
Healthcare Highways $39,304 167%
Independent Health $24,483 104%
Molina $25,176 - $48,081 107%
Oscar Health $22,635 - $43,460 96%
WellCare $24,483 104%
WellMed $22,866 97%
+ 15 smaller / regional plans $23,097 - $45,158
Government programs also on file: Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals