CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence St. Joseph Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,224
about 1.5× the $23,504 Medicare rate · typically $30,636–$52,041
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,884
About the fair price
about $1,340 under the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $34,224 This hospital $32,884

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 $32,884

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 $34,224 (about 1.5× the $23,504 Medicare rate). Providence St. Joseph Hospital charges insurers about $32,884 — about the fair price. Located in Orange, 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 $32,884 - $82,017 140%
Blue Cross Blue Shieldmajor $32,884 - $42,115 140%
Aetnamajor $32,884 140%
Cignamajor $32,884 - $70,639 140%
Humanamajor $32,884 140%
Kaiser Permanentemajor $32,884 140%
Health Net $32,884 - $79,817 140%
Molina $32,884 140%
Providence Health Plan $32,884 140%
+ 11 smaller / regional plans $32,884 - $48,756

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Facility Profile & Credentials

  • Address: 1100 West Stewart Dr, Orange, CA 92868
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals