CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Riverside Community Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$32,488
about 1.4× the $23,504 Medicare rate · typically $23,946–$42,530
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,470
Above the fair price
about $6,982 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $32,488 This hospital $39,470

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 $39,470

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 $32,488 (about 1.4× the $23,504 Medicare rate). Riverside Community Hospital charges insurers about $39,470 — above the fair price. Located in Riverside, CA.

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 $32,488. 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.

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 $7,920 - $39,509 34%
Blue Cross Blue Shieldmajor $2,697 - $39,470 11%
Aetnamajor $6,944 - $39,470 30%
Cignamajor $5,314 - $143,871 23%
Humanamajor $39,470 168%
Health Net $4,472 - $8,580 19%
+ 16 smaller / regional plans $3,350 - $71,045
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (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.

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Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals