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Spinal fusion (non-cervical) w MCC

MS-DRG 459 · negotiated-rate distribution across hospitals in TX

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Hospitals
57
Min
$39,448
Median
$69,759
Max
$153,070
Range multiplier
3.9×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield50244$35,021$73,572$190,5595.4×
Humana3542$35,308$35,308$127,7683.6×
Aetna3536$39,448$91,851$158,5124.0×
UnitedHealthcare1636$37,476$64,405$174,0454.6×
Medicare933$38,849$46,450$57,1041.5×
private health care system2323$36,099$36,099$36,0991.0×
healthsmart2020$36,390$36,390$36,3901.0×
employers health network1414$67,510$67,510$67,5101.0×
Cigna89$65.00$59,731$203,2803127.4×
commercial | entrust | all plans88$94,067$103,675$125,1541.3×
commercial | community health choice | exchange77$47,872$64,739$71,3801.5×
commercial | phcs | all plans66$124,422$126,611$126,6111.0×
commercial | independent med system | all plans55$89,094$89,094$89,0941.0×
commercial | harris health | ers55$61,882$68,751$71,3801.2×
commercial | kelseycare | exchange55$55,694$61,876$64,2421.2×
commercial | nxhealth | all plans55$137,237$152,860$154,6581.1×
commercial | renaissance | all plans55$29,703$33,001$34,2631.2×
commercial | superior health plan | all plans55$61,882$68,751$71,3801.2×
optum24$95,494$95,494$95,4941.0×
commercial | healthsmart | ap344$48,909$48,909$48,9091.0×
Ambetter33$66,168$68,199$68,1991.0×
corvel22$43,988$43,988$43,9881.0×
sedgwick22$52,151$52,151$52,1511.0×
careworks fka rockport22$52,151$52,151$52,1511.0×
injury management organization22$52,151$52,151$52,1511.0×
procare advantage22$44,089$44,089$44,0891.0×
american health plan22$44,089$44,089$44,0891.0×
commercial | ellwood | all plans22$141,101$141,101$141,1011.0×
wellpoint11$86,220$86,220$86,2201.0×
capstar11$72.00$72.00$72.001.0×
commercial | employerdirect | all plans11$64,168$64,168$64,1681.0×
commercial | healthsmart | ppo11$48,909$48,909$48,9091.0×
commercial | tch | transplant11$41,757$41,757$41,7571.0×
first choice11$154,376$154,376$154,3761.0×
First Health11$70.00$70.00$70.001.0×
healthchoice11$78,075$78,075$78,0751.0×
omni11$85.00$85.00$85.001.0×
Oscar Health11$46,864$46,864$46,8641.0×
providence health plan11$141,404$141,404$141,4041.0×
superior health plan11$139,278$139,278$139,2781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Covenant Hospital PlainviewPlainviewTX4$65.00$97,218$122,404
River Crest HospitalSan AngeloTX1$78,022$82,653$82,653
San Angelo Community Medical CenterSan AngeloTX1$78,022$82,653$82,653
Big Spring State HospitalBig SpringsTX1$78,022$82,653$82,653
Shannon Medical CenterSan AngeloTX1$78,022$82,653$82,653
Baylor University Medical CtrDallasTX7$35,308$80,553$103,364
Baylor S&W Medical Center - PlanoPlanoTX7$35,308$80,553$103,364
Round Rock HospitalRound RockTX5$35,308$73,572$91,851
Scott And White Memorial HospitalTempleTX6$35,308$73,572$91,851
Hillcrest Baptist Medical CenterWacoTX5$35,308$73,572$91,851
Scott & White Hospital BrenhamBrenhamTX5$35,308$73,572$91,851
Scott And White Hospital TaylorTaylorTX4$35,308$73,572$91,851
Mid Coast Medical Center-CentralLlanoTX4$35,308$73,572$91,851
Baylor Scott & White - Marble FallsMarble FallsTX5$35,308$73,572$91,851
Baylor Scott & White PflugervillePflugervilleTX5$35,308$73,572$91,851
Baylor Scott & White - BudaBudaTX4$35,308$73,572$91,851
Bsw Medical Center - AustinAustinTX4$35,308$73,572$91,851
College Station HospitalCollege StationTX6$35,308$72,673$91,851
Baylor Heart And Vascular HospitalDallasTX5$35,308$72,007$107,476
Tchd D/B/A Jps Health NetworkFort WorthTX4$52,436$69,934$139,278
Baylor Scott & White Wmc - BrenhamBrenhamTX6$35,308$69,759$107,476
The Heart Hospital Baylor PlanoPlanoTX6$35,308$69,759$107,476
The Heart Hospital Baylor DentonDentonTX6$35,308$69,759$107,476
Baylor S&W All Saints Medical CenterFort WorthTX6$35,308$68,382$103,364
Baylor S&W Medical Center - IrvingIrvingTX6$35,308$68,382$103,364
Baylor Medical Center-GrapevineGrapevineTX6$35,308$68,382$103,364
Baylor S&W Medical Center - MckinneyMckinneyTX6$35,308$68,382$103,364
Centennial Medical CenterFriscoTX6$35,308$65,965$96,148
Baylor Scott & White Mc- Lake PointeRowlettTX6$35,308$65,965$96,148
Chi St Lukes Health Baylor Med CtrHoustonTX16$34,263$57,104$154,658
Madison St. Joseph Health CenterMadisonvilleTX2$42,098$56,139$90,879
Grimes St. Joseph Health CenterNavasotaTX2$42,098$56,139$90,879
College Station Medical CenterCollege StationTX8$42,098$56,139$152,860
St. Joseph Regional Health CenterBryanTX8$42,098$56,139$152,860
St. Lukes Patients Medical CenterPasadenaTX8$43,160$55,386$124,422
St Lukes Hospital At The VintageHoustonTX16$33,001$54,092$148,961
St Lukes Health Memorial San AugustSan AugustineTX2$45,776$53,287$60,798
Burleson St. Joseph Health CenterCaldwellTX1$42,098$53,184$59,095
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$39,082$50,990$88,256
St. Lukes Sugar Land HospitalSugar LandTX14$33,662$50,026$126,611
St. Lukes The Woodlands HospitalThe WoodlandsTX15$30,403$48,836$137,237
St. Lukes Lakeside HospitalThe WoodlandsTX15$29,703$47,442$126,611
Brazosport Regional Health SystemLake JacksonTX8$35,021$47,166$127,768
Chi St Lukes Health Mem LivingstonLivingstonTX6$43,341$45,623$59,731
Texas Spine And Joint HospitalTylerTX8$36,390$44,089$52,151
Baylor Scott & White Continuing CareTempleTX8$36,390$44,089$52,151
Heritage Park Surgical HospitalShermanTX2$39,082$43,707$78,075
Baylor Orthopedic And Spine HospitalArlingtonTX2$35,308$41,086$46,864
Chi St Lukes Health Memorial LufkinLufkinTX6$37,476$39,448$59,731
Methodist Hospital For SurgeryAddisonTX1$128,955$64,478$99,044$153,070$170,077
Hospitals Of Providence East CampusEl PasoTX7$70.00$153,042$203,280
Covenant Hospital LevellandLevellandTX1$98,535$114,867$137,853
Navarro Regional HospitalCorsicanaTX0
Longview Regional Medical CenterLongviewTX0
St Joseph Medical CenterHoustonTX0
Laredo Medical CenterLaredoTX0
The Medical Ctr Of Southeast TexasPort ArthurTX0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.