CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Houston Methodist West Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,004
about 1.2× the $23,504 Medicare rate · typically $25,867–$34,231
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,550
About the fair price
about $546 over the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $28,004 This hospital $28,550

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 $28,550

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 $28,004 (about 1.2× the $23,504 Medicare rate). Houston Methodist West Hospital charges insurers about $28,550 — about the fair price. Located in Houston, TX.

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 $25,955 - $50,612 110%
Blue Cross Blue Shieldmajor $25,955 - $26,734 110%
Aetnamajor $26,344 112%
Cignamajor $26,734 - $40,914 114%
Humanamajor $25,955 110%
Devoted Health $27,772 - $32,444 118%
Molina $27,253 - $51,910 116%
Oscar Health $27,253 116%
+ 5 smaller / regional plans $27,772 - $129,774
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 18500 Katy Freeway, Houston, TX 77094
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals