CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Valleywise Health Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,869
about 1.2× the $23,504 Medicare rate · typically $21,029–$46,507
modeled estimate · not a bill or quote
What this hospital charges insurers
$64,077
Well above the fair price
about $35,208 over the fair price · 2.7× Medicare
Medicare pays $23,504 Fair price $28,869 This hospital $64,077

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $23,167 Priciest $64,077

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,869 (about 1.2× the $23,504 Medicare rate). Valleywise Health Medical Center charges insurers about $64,077 — well above the fair price. Located in Phoenix, AZ.

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 $28,869. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $48,079 - $164,647 205%
Aetnamajor $37,631 - $64,077 160%
Cignamajor $33,780 - $40,535 144%
Humanamajor $64,077 273%
Banner Health $64,077 273%
Devoted Health $64,077 273%
Health Net $45,889 - $64,077 195%
Molina $70,484 300%
Oscar Health $46,033 196%
+ 8 smaller / regional plans $41,995 - $96,115
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2601 East Roosevelt Street, Phoenix, AZ 85008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals