CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Madison St Joseph Health Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$30,692
about 1.3× the $23,504 Medicare rate · typically $11,684–$43,283
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,573
Below the fair price — a good deal
about $9,119 under the fair price · 0.9× Medicare
Medicare pays $23,504 Fair price $30,692 This hospital $21,573

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 $21,573

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 $30,692 (about 1.3× the $23,504 Medicare rate). Madison St Joseph Health Center charges insurers about $21,573 — below the fair price — a good deal. Located in Madisonville, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $3,534 - $36,989 15%
Blue Cross Blue Shieldmajor $3,464 - $5,196 15%
Aetnamajor $3,464 15%
Cignamajor $21,573 92%
Ambetter (Centene) $5,023 21%
+ 5 smaller / regional plans $3,568 - $11,258

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Facility Profile & Credentials

  • Address: 100 West Cross Street, Madisonville, TX 77864
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals