CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Banner Heart Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$27,467

about 1.2× the $23,504 Medicare rate · typically $22,461–$38,476

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,260

Below the fair price — a good deal

about $4,207 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $27,467 This hospital $23,260

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

One of the lower prices — 7 of 8 other AZ hospitals charge more for the same procedure.

Cheapest $23,167 Priciest $25,477

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 $27,467 (about 1.2× the $23,504 Medicare rate). Banner Heart Hospital charges insurers about $23,260 — below the fair price — a good deal. Located in Mesa, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$22,917 - $81,835	98%
Blue Cross Blue Shieldmajor	$22,917	98%
Aetnamajor	$22,917 - $82,146	98%
Cignamajor	$22,917 - $93,398	98%
Humanamajor	$22,917 - $23,604	98%
Kaiser Permanentemajor	$22,917	98%
Banner Health	$22,917	98%
Devoted Health	$24,063	102%
Health Net	$22,917 - $33,917	98%
Oscar Health	$37,813	161%
UPMC Health Plan	$22,917	98%
+ 8 smaller / regional plans	$22,917 - $34,375

Government programs also on file: Military & VA.

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 Banner Heart Hospital 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 Banner Heart Hospital

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

Yavapai Regional Medical Center · Prescott $23,167
Banner Boswell Medical Center · Sun City $23,966
Havasu Regional Medical Center · Lake Havasu City $24,032
Banner Ocotillo Medical Center · Chandler $24,625
Banner Baywood Medical Center · Mesa $24,772
Banner Ironwood Medical Center · Queen Creek $25,337
Banner Del E. Webb Medical Center · Sun City West $25,423
Honorhealth Scottsdale Shea Medical Center · Scottsdale $25,477

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