Spinal fusion, single level (inpatient stay)
Facility: North Austin Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $28,118 compared to the $27,458 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
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 $27,458 (about 1.2× the $23,504 Medicare rate). North Austin Medical Center charges insurers about $28,118 — about the fair price. Located in Austin, 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
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 | $2,781 - $59,970 | 12% |
| Blue Cross Blue Shieldmajor | $26,279 | 112% |
| Aetnamajor | $3,765 - $28,118 | 16% |
| Cignamajor | $5,963 - $26,804 | 25% |
| Humanamajor | $25,622 - $28,118 | 109% |
| Devoted Health | $26,804 | 114% |
| Healthcare Highways | $40,561 - $41,385 | 173% |
| Independent Health | $29,170 | 124% |
| Moda Health | $24,086 - $44,599 | 102% |
| Molina | $28,644 | 122% |
| Oscar Health | $28,473 - $31,637 | 121% |
| WellCare | $29,170 | 124% |
| WellMed | $25,937 | 110% |
| + 32 smaller / regional plans | $2,450 - $126,000 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at North Austin Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other TX hospitals
- Childrens Medical Ctr of Dallas · Dallas $12,081
- Childrens Medical Center Plano · Plano $12,081
- Burleson St Joseph Health Center · Caldwell $20,211
- Ascension Seton Southwest · Austin $20,240
- Ascension Seton Hays · Kyle $20,376
- Christus Mother Frances Hospital · Tyler $20,481
- Ascension Seton Northwest · Austin $20,494
- Ascension Providence · Waco $20,638
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at North Austin Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $24,496
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $24,496).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask North Austin Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $27,458 Fair BaseRate ($23,504 Medicare)
Your bill ($67,483) is $40,025 above the denoised Fair BaseRate ($27,458) and 2.9× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.