CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Phoenix Children's Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$40,556
about 1.7× the $23,504 Medicare rate · typically $14,285–$75,280
modeled estimate · not a bill or quote
What this hospital charges insurers
$81,393
Well above the fair price
about $40,837 over the fair price · 3.5× Medicare
Medicare pays $23,504 Fair price $40,556 This hospital $81,393

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 $81,393

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 $40,556 (about 1.7× the $23,504 Medicare rate). Phoenix Children's Hospital charges insurers about $81,393 — 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 $40,556. 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.

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

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $81,393 346%
Cignamajor $89,994 383%
+ 1 smaller / regional plan $42,664

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.

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Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens