CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence Little Co of Mary Med Ctr San Pedro

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$34,095

about 1.5× the $23,504 Medicare rate · typically $30,137–$50,270

modeled estimate · not a bill or quote

What this hospital charges insurers

$32,383

About the fair price

about $1,712 under the fair price · 1.4× Medicare

Medicare pays $23,504 Fair price $34,095 This hospital $32,383

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 $32,383

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 $34,095 (about 1.5× the $23,504 Medicare rate). Providence Little Co of Mary Med Ctr San Pedro charges insurers about $32,383 — about the fair price. Located in San Pedro, CA.

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✓ Humana✓ Kaiser Permanente Cigna

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	$31,748 - $61,876	135%
Blue Cross Blue Shieldmajor	$31,748 - $42,115	135%
Aetnamajor	$31,748 - $78,222	135%
Humanamajor	$31,748	135%
Kaiser Permanentemajor	$31,748	135%
Health Net	$31,748 - $67,941	135%
Molina	$32,383	138%
WellCare	$31,748	135%
+ 6 smaller / regional plans	$31,748 - $41,273

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Providence Little Co of Mary Med Ctr San Pedro 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 Providence Little Co of Mary Med Ctr San Pedro

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

College Medical Center · Long Beach $21,342
French Hospital Medical Center · San Luis Obispo $28,890
Salinas Valley Memorial Hospital · Salinas $28,958
Mercy Hospital of Folsom · Folsom $30,162
Good Samaritan Hospital, LP · Bakersfield $30,419
Sierra Nevada Memorial Hospital · Grass Valley $30,438
Mercy Medical Center Redding · Redding $30,746
Mercy Hospital · Bakersfield $30,802

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