CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Children's Hospital of San Antonio

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$33,446
about 1.4× the $23,504 Medicare rate · typically $14,043–$54,515
modeled estimate · not a bill or quote
What this hospital charges insurers
$53,882
Above the fair price
about $20,436 over the fair price · 2.3× Medicare
Medicare pays $23,504 Fair price $33,446 This hospital $53,882

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 $53,882

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 $33,446 (about 1.4× the $23,504 Medicare rate). Children's Hospital of San Antonio charges insurers about $53,882 — above the fair price. Located in San Antonio, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $33,446. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Humana CignaKaiser 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 $2,547 11%
Blue Cross Blue Shieldmajor $2,457 10%
Aetnamajor $2,547 - $3,995 11%
Humanamajor $2,547 - $53,882 11%
Amerigroup $2,751 12%
Cigna HealthSpring $2,547 11%
Devoted Health $2,751 12%
Molina $2,547 11%
WellCare $2,547 11%
+ 12 smaller / regional plans $2,420 - $10,056
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 333 N Santa Rosa St, San Antonio, TX 78207
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Childrens