CMS Price Transparency Data
Spinal fusion, single level (inpatient stay)
Facility: Texas Health Specialty Hospital Forth Worth
Billing Code: 451 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$34,528
about 1.5× the $23,504 Medicare rate · typically $15,813–$53,807
modeled estimate · not a bill or quote
Medicare pays $23,504 Fair price $34,528
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✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $178,138 - $181,348 | 758% |
| Blue Cross Blue Shieldmajor | $160,485 | 683% |
| Humanamajor | $166,904 | 710% |
| Amerigroup | $168,509 | 717% |
| Cigna HealthSpring | $163,695 | 696% |
| Molina | $168,509 | 717% |
| WellCare | $168,509 - $176,534 | 717% |
| + 1 smaller / regional plan | $160,485 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Texas Health Specialty Hospital Forth Worth
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.