CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Texas Health Presbyterian Hospital Flower Mound

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,721
about 1.3× the $23,504 Medicare rate · typically $27,968–$48,517
modeled estimate · not a bill or quote
What this hospital charges insurers
$52,471
Above the fair price
about $20,750 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $31,721 This hospital $52,471

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 $52,471

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 $31,721 (about 1.3× the $23,504 Medicare rate). Texas Health Presbyterian Hospital Flower Mound charges insurers about $52,471 — above the fair price. Located in Flower Mound, 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 $31,721. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $26,913 - $107,506 115%
Blue Cross Blue Shieldmajor $24,246 - $162,907 103%
Aetnamajor $52,471 - $69,960 223%
Cignamajor $84,144 - $98,375 358%
Humanamajor $25,216 107%
Amerigroup $25,459 108%
Cigna HealthSpring $24,731 105%
Molina $25,459 108%
WellCare $25,459 - $26,671 108%
+ 2 smaller / regional plans $24,246 - $62,555

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: 4400 Long Prairie Road, Flower Mound, TX 75028
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals