CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ascension Seton Northwest

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,835
about 1.1× the $23,504 Medicare rate · typically $16,878–$32,945
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,494
Below the fair price — a good deal
about $6,341 under the fair price · 0.9× Medicare
Medicare pays $23,504 Fair price $26,835 This hospital $20,494

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

On the higher side — 6 of 8 other TX hospitals charge less.

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 $26,835 (about 1.1× the $23,504 Medicare rate). Ascension Seton Northwest charges insurers about $20,494 — 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 $20,904 89%
Aetnamajor $20,494 87%
Humanamajor $20,494 87%
Ambetter (Centene) $36,889 157%
Devoted Health $20,494 87%
Oscar Health $9,379 40%
WellCare $20,494 87%
WellMed $20,084 85%
+ 13 smaller / regional plans $9,063 - $35,865
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 11113 Research Boulevard, Austin, TX 78759
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals