CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence Queen of the Valley Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,268
about 1.3× the $23,504 Medicare rate · typically $15,188–$41,384
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,855
About the fair price
about $4,587 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $31,268 This hospital $35,855

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $21,342 Priciest $35,855

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $31,268 (about 1.3× the $23,504 Medicare rate). Providence Queen of the Valley Medical Center charges insurers about $35,855 — about the fair price. Located in Napa, CA.

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 $35,855 - $98,613 153%
Blue Cross Blue Shieldmajor $35,855 153%
Aetnamajor $35,855 - $139,845 153%
Cignamajor $35,855 153%
Humanamajor $35,855 153%
Kaiser Permanentemajor $35,855 153%
Devoted Health $35,855 153%
Health Net $35,855 - $62,429 153%
Molina $35,855 153%
Providence Health Plan $35,855 153%
+ 1 smaller / regional plan $35,855

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Facility Profile & Credentials

  • Address: 1000 Trancas St, Napa, CA 94558
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals