CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Bernardine Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$32,802

about 1.4× the $23,504 Medicare rate · typically $24,762–$43,593

modeled estimate · not a bill or quote

What this hospital charges insurers

$34,084

About the fair price

about $1,282 over the fair price · 1.5× Medicare

Medicare pays $23,504 Fair price $32,802 This hospital $34,084

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 $34,084

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 $32,802 (about 1.4× the $23,504 Medicare rate). St Bernardine Medical Center charges insurers about $34,084 — about the fair price. Located in San Bernardino, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana✓ Kaiser Permanente AetnaCigna

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	$25,698 - $34,766	109%
Blue Cross Blue Shieldmajor	$34,084	145%
Humanamajor	$34,084	145%
Kaiser Permanentemajor	$28,972 - $34,084	123%
Health Net	$34,084	145%
Molina	$34,084	145%
+ 8 smaller / regional plans	$34,084 - $47,718

Excludes 2 rental-network / third-party entries (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 St Bernardine Medical Center 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 St Bernardine Medical Center

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.