CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: USA Health HCA Providence Hospital, LLC

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$23,829

about 1.0× the $23,504 Medicare rate · typically $12,425–$28,627

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,484

About the fair price

about $1,345 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $23,829 This hospital $22,484

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

On the higher side — 6 of 8 other AL hospitals charge less.

Cheapest $14,804 Priciest $23,564

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $23,829 (about 1.0× the $23,504 Medicare rate). USA Health HCA Providence Hospital, LLC charges insurers about $22,484 — about the fair price. Located in Mobile, AL.

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	$22,484 - $29,762	96%
Blue Cross Blue Shieldmajor	$10,851 - $22,484	46%
Aetnamajor	$22,484	96%
Cignamajor	$22,484 - $29,823	96%
Humanamajor	$22,484 - $24,283	96%
Ambetter (Centene)	$26,981	115%
Devoted Health	$22,484	96%
+ 1 smaller / regional plan	$22,484

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm USA Health HCA Providence Hospital, LLC is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at USA Health HCA Providence Hospital, LLC

Compare: Spinal fusion, single level (inpatient stay) at other AL hospitals

Whitfield Regional Hospital · Demopolis $14,804
North Alabama Medical Center · Florence $18,398
Springhill Medical Center · Mobile $19,192
Hill Hospital of Sumter County · York $20,698
Highlands Medical Center · Scottsboro $22,156
Prattville Baptist Hospital · Prattville $22,481
St Vincent's Birmingham · Birmingham $23,514
Baptist Medical Center East · Montgomery $23,564

Insurance negotiated median for the same procedure, sorted lowest first.