Spinal fusion, single level (inpatient stay)
Facility: Hoag Memorial Hospital Presbyterian
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $31,002 compared to the $35,050 fair price benchmark.
5-Star CMS clinical quality rating paired with 0.88× fair market pricing.
Highest price of the 9 CA hospitals we have prices for — worth calling around.
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 $35,050 (about 1.5× the $23,504 Medicare rate). Hoag Memorial Hospital Presbyterian charges insurers about $31,002 — below the fair price — a good deal. Located in Newport Beach, 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
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 | $31,002 | 132% |
| Blue Cross Blue Shieldmajor | $31,002 - $93,382 | 132% |
| Aetnamajor | $31,002 | 132% |
| Cignamajor | $31,002 - $46,650 | 132% |
| Humanamajor | $31,002 | 132% |
| Kaiser Permanentemajor | $31,002 | 132% |
| Health Net | $31,002 | 132% |
| Sentara | $31,002 | 132% |
| + 3 smaller / regional plans | $31,002 |
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.
Other Procedures at Hoag Memorial Hospital Presbyterian
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.
Audit a Bill or Quote at Hoag Memorial Hospital Presbyterian (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $27,009
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $27,009).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Hoag Memorial Hospital Presbyterian's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $35,050 Fair BaseRate ($23,504 Medicare)
Your bill ($74,405) is $39,355 above the denoised Fair BaseRate ($35,050) and 3.2× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.