CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence St. Jude Medical Center

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 $30,723–$52,198
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,575
About the fair price
about $2,649 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $34,224 This hospital $31,575

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 $31,575

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. Jude Medical Center charges insurers about $31,575 — about the fair price. Located in Fullerton, 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 $31,575 - $71,745 134%
Blue Cross Blue Shieldmajor $31,575 - $42,115 134%
Aetnamajor $31,575 134%
Cignamajor $31,575 - $60,550 134%
Humanamajor $31,575 134%
Kaiser Permanentemajor $31,575 134%
Health Net $31,575 - $66,885 134%
Molina $31,575 134%
Providence Health Plan $31,575 134%
WellCare $31,575 134%
+ 11 smaller / regional plans $31,575 - $34,694

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Facility Profile & Credentials

  • Address: 101 E Valencia Mesa Drive, Fullerton, CA 92835
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals