CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Memorial Hermann Sugar Land Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$29,488

about 1.3× the $23,504 Medicare rate · typically $26,432–$36,474

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,926

About the fair price

about $2,562 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $29,488 This hospital $26,926

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 $26,926

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 $29,488 (about 1.3× the $23,504 Medicare rate). Memorial Hermann Sugar Land Hospital charges insurers about $26,926 — 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.

6 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	$26,926 - $43,081	115%
Blue Cross Blue Shieldmajor	$26,926 - $43,081	115%
Aetnamajor	$26,926 - $44,428	115%
Cignamajor	$26,926	115%
Humanamajor	$26,926	115%
Kaiser Permanentemajor	$26,926	115%
Devoted Health	$26,926	115%
Molina	$29,618 - $51,967	126%
Oscar Health	$43,081	183%
WellCare	$26,926	115%
+ 7 smaller / regional plans	$26,118 - $51,159

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Memorial Hermann Sugar Land Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Memorial Hermann Sugar Land Hospital

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.