CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Saint John's Health Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,126
about 1.5× the $23,504 Medicare rate · typically $30,092–$49,944
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,991
About the fair price
about $3,135 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $34,126 This hospital $30,991

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 $30,991

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 $34,126 (about 1.5× the $23,504 Medicare rate). Saint John's Health Center charges insurers about $30,991 — about the fair price. Located in Santa Monica, 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 $30,991 - $60,929 132%
Blue Cross Blue Shieldmajor $30,991 - $42,115 132%
Aetnamajor $30,991 - $71,591 132%
Cignamajor $30,991 132%
Humanamajor $30,991 132%
Kaiser Permanentemajor $30,991 132%
Health Net $30,991 - $75,000 132%
Molina $30,991 132%
Providence Health Plan $30,991 132%
WellCare $30,991 132%
+ 8 smaller / regional plans $30,991 - $40,289

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Facility Profile & Credentials

  • Address: 2121 Santa Monica Blvd, Santa Monica, CA 90404
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals