CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Houston Methodist Sugarland Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,863
about 1.2× the $23,504 Medicare rate · typically $25,812–$34,127
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,863
About the fair price
about $1,000 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $27,863 This hospital $26,863

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 $26,863

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 $27,863 (about 1.2× the $23,504 Medicare rate). Houston Methodist Sugarland Hospital charges insurers about $26,863 — about the fair price. Located in Sugar Land, 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 $24,421 - $47,621 104%
Blue Cross Blue Shieldmajor $24,421 - $25,154 104%
Aetnamajor $24,787 105%
Cignamajor $25,154 - $40,914 107%
Humanamajor $24,421 104%
Devoted Health $26,130 - $30,526 111%
Molina $25,642 - $48,842 109%
Oscar Health $25,642 109%
+ 4 smaller / regional plans $26,130 - $46,734
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 16655 Southwest Freeway, Sugar Land, TX 77479
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals