CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ascension Seton Southwest

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,867
about 1.1× the $23,504 Medicare rate · typically $16,667–$33,546
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,240
Below the fair price — a good deal
about $6,627 under the fair price · 0.9× Medicare
Medicare pays $23,504 Fair price $26,867 This hospital $20,240

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 5 charge more and 3 charge less, among the 9 TX hospitals compared.

Cheapest $12,081 Priciest $20,826

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 $26,867 (about 1.1× the $23,504 Medicare rate). Ascension Seton Southwest charges insurers about $20,240 — below the fair price — a good deal. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $20,644 88%
Aetnamajor $20,240 86%
Humanamajor $20,240 86%
Ambetter (Centene) $36,431 155%
Devoted Health $20,240 86%
Oscar Health $9,379 40%
WellCare $20,240 86%
WellMed $19,835 84%
+ 13 smaller / regional plans $9,063 - $35,419
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 7900 Fm 1826, Austin, TX 78737
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals