CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Methodist Hospital Stone Oak

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,823
about 1.1× the $23,504 Medicare rate · typically $19,499–$34,594
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,591
Above the fair price
about $4,768 over the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $25,823 This hospital $30,591

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 $30,591

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 $25,823 (about 1.1× the $23,504 Medicare rate). Methodist Hospital Stone Oak charges insurers about $30,591 — 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 $25,823. 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✓ 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 $2,988 - $55,282 13%
Blue Cross Blue Shieldmajor $23,949 - $30,591 102%
Aetnamajor $2,775 - $30,194 12%
Cignamajor $5,717 - $7,569 24%
Amerigroup $23,949 - $30,591 102%
Clover Health $24,428 - $31,203 104%
Devoted Health $24,428 - $31,203 104%
Fidelis Care $27,063 - $34,874 115%
Healthcare Highways $42,641 181%
Independent Health $26,823 - $31,203 114%
Molina $38,079 - $48,640 162%
Oscar Health $78,560 334%
WellCare $26,426 - $31,203 112%
WellMed $23,087 - $29,490 98%
+ 13 smaller / regional plans $23,949 - $49,313
Government programs also on file: Medicaid, Military & VA.

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.

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Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals