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Spinal fusion (non-cervical) w/o MCC

MS-DRG 460 · negotiated-rate distribution across hospitals in TX

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Hospitals
58
Min
$23,730
Median
$38,474
Max
$191,510
Range multiplier
8.1×

By payer (46 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield51248$22,189$40,577$150,4726.8×
Humana3542$23,730$35,308$74,5853.1×
Aetna3536$23,730$50,658$87,4243.7×
UnitedHealthcare1636$22,543$37,610$95,9914.3×
Medicare933$22,695$27,799$34,0091.5×
private health care system2323$36,099$36,099$36,0991.0×
healthsmart2020$36,390$36,390$36,3901.0×
employers health network1414$37,234$37,234$37,2341.0×
Cigna910$65.00$34,895$273,5864209.0×
commercial | entrust | all plans88$56,379$61,648$74,5361.3×
commercial | community health choice | exchange77$29,309$37,792$42,5111.5×
commercial | phcs | all plans66$72,631$73,180$73,1801.0×
commercial | renaissance | all plans55$17,353$20,015$20,4051.2×
commercial | independent med system | all plans55$56,339$56,339$56,3391.0×
commercial | kelseycare | exchange55$32,536$37,529$38,2601.2×
commercial | harris health | ers55$36,151$41,699$42,5111.2×
commercial | nxhealth | all plans55$80,174$91,616$92,1071.1×
commercial | superior health plan | all plans55$36,151$41,699$42,5111.2×
commercial | healthsmart | ap344$32,521$32,521$32,5211.0×
optum24$62,455$62,455$62,4551.0×
Ambetter33$39,984$40,875$40,8751.0×
careworks fka rockport22$46,699$46,699$46,6991.0×
corvel22$39,389$39,389$39,3891.0×
commercial | ellwood | all plans22$84,568$84,568$84,5681.0×
american health plan22$39,480$39,480$39,4801.0×
procare advantage22$39,480$39,480$39,4801.0×
sedgwick22$46,699$46,699$46,6991.0×
injury management organization22$46,699$46,699$46,6991.0×
wellpoint11$47,553$47,553$47,5531.0×
commercial | healthsmart | ppo11$32,521$32,521$32,5211.0×
commercial | tch | transplant11$26,405$26,405$26,4051.0×
corporate remedies11$341,983$341,983$341,9831.0×
first choice11$87,650$87,650$87,6501.0×
First Health11$70.00$70.00$70.001.0×
friday health insurance company11$465,096$465,096$465,0961.0×
healthchoice11$43,061$43,061$43,0611.0×
capstar11$72.00$72.00$72.001.0×
Multiplan11$191,510$191,510$191,5101.0×
omni11$85.00$85.00$85.001.0×
oscar11$8,922.00$8,922.00$8,922.001.0×
Oscar Health11$29,635$29,635$29,6351.0×
prime health services11$191,510$191,510$191,5101.0×
providence health plan11$82,545$82,545$82,5451.0×
scott and white health plan11$232,548$232,548$232,5481.0×
superior health plan11$76,816$76,816$76,8161.0×
commercial | employerdirect | all plans11$38,919$38,919$38,9191.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Methodist Hospital For SurgeryAddisonTX1$105,894$52,947$56,234$86,908$96,564
Hospitals Of Providence East CampusEl PasoTX7$70.00$85,547$112,115
Covenant Hospital LevellandLevellandTX1$54,345$63,352$76,030
Covenant Hospital PlainviewPlainviewTX4$65.00$53,618$67,509
Shannon Medical CenterSan AngeloTX1$45,580$48,286$48,286
Big Spring State HospitalBig SpringsTX1$45,580$48,286$48,286
River Crest HospitalSan AngeloTX1$45,580$48,286$48,286
San Angelo Community Medical CenterSan AngeloTX1$45,580$48,286$48,286
Baylor S&W Medical Center - PlanoPlanoTX7$35,174$44,427$62,455
Baylor University Medical CtrDallasTX7$35,174$44,427$62,455
Tchd D/B/A Jps Health NetworkFort WorthTX4$34,058$41,524$76,816
Hillcrest Baptist Medical CenterWacoTX5$35,308$40,577$50,658
Round Rock HospitalRound RockTX5$35,308$40,577$50,658
Baylor Scott & White - Marble FallsMarble FallsTX5$35,308$40,577$50,658
Baylor Scott & White PflugervillePflugervilleTX5$35,308$40,577$50,658
Scott And White Memorial HospitalTempleTX6$35,308$40,577$50,658
Scott And White Hospital TaylorTaylorTX4$35,308$40,577$50,658
Scott & White Hospital BrenhamBrenhamTX5$35,308$40,577$50,658
Baylor Scott & White - BudaBudaTX4$35,308$40,577$50,658
Mid Coast Medical Center-CentralLlanoTX4$35,308$40,577$50,658
Bsw Medical Center - AustinAustinTX4$35,308$40,577$50,658
College Station HospitalCollege StationTX6$35,308$40,081$50,658
Baylor Heart And Vascular HospitalDallasTX5$35,308$39,714$59,276
Baylor Scott & White Continuing CareTempleTX8$36,390$39,480$46,699
Texas Spine And Joint HospitalTylerTX8$36,390$39,480$46,699
Baylor Scott & White Wmc - BrenhamBrenhamTX6$35,308$38,474$59,276
The Heart Hospital Baylor DentonDentonTX6$35,308$38,474$59,276
The Heart Hospital Baylor PlanoPlanoTX6$35,308$38,474$59,276
Baylor S&W All Saints Medical CenterFort WorthTX6$35,174$37,715$57,008
Baylor S&W Medical Center - MckinneyMckinneyTX6$35,174$37,715$57,008
Baylor S&W Medical Center - IrvingIrvingTX6$35,174$37,715$57,008
Baylor Medical Center-GrapevineGrapevineTX6$35,174$37,715$57,008
Grimes St. Joseph Health CenterNavasotaTX2$27,992$37,329$53,091
Madison St. Joseph Health CenterMadisonvilleTX2$27,992$37,329$53,091
St. Joseph Regional Health CenterBryanTX8$27,992$37,329$91,616
College Station Medical CenterCollege StationTX8$27,992$37,329$91,616
Baylor Scott & White Mc- Lake PointeRowlettTX6$32,720$36,812$53,029
Centennial Medical CenterFriscoTX6$32,720$36,812$53,029
Burleson St. Joseph Health CenterCaldwellTX1$27,992$35,363$39,294
St Lukes Hospital At The VintageHoustonTX16$20,015$34,361$90,348
Chi St Lukes Health Baylor Med CtrHoustonTX16$20,405$34,009$92,107
St. Lukes The Woodlands HospitalThe WoodlandsTX15$17,762$32,473$80,174
Baylor Orthopedic And Spine HospitalArlingtonTX2$29,635$32,472$35,308
St. Lukes Sugar Land HospitalSugar LandTX14$20,300$32,424$73,180
St. Lukes Patients Medical CenterPasadenaTX8$25,195$32,356$72,631
St. Lukes Lakeside HospitalThe WoodlandsTX15$17,353$31,138$73,180
St Lukes Health Memorial San AugustSan AugustineTX2$26,742$30,941$35,141
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$22,189$28,585$48,676
Brazosport Regional Health SystemLake JacksonTX8$23,286$28,403$74,585
Chi St Lukes Health Mem LivingstonLivingstonTX6$26,018$27,388$34,895
Heritage Park Surgical HospitalShermanTX2$22,189$24,450$43,061
Chi St Lukes Health Memorial LufkinLufkinTX6$22,543$23,730$34,895
Crescent Medical Center LancasterLancasterTX8$273,586$177,831$8,922.00$191,510$465,096
The Medical Ctr Of Southeast TexasPort ArthurTX0
Laredo Medical CenterLaredoTX0
Longview Regional Medical CenterLongviewTX0
St Joseph Medical CenterHoustonTX0
Navarro Regional HospitalCorsicanaTX0

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.