CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence St Mary Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$32,781
about 1.4× the $23,504 Medicare rate · typically $24,756–$43,695
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,982
About the fair price
about $201 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $32,781 This hospital $32,982

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 $32,982

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 $32,781 (about 1.4× the $23,504 Medicare rate). Providence St Mary Medical Center charges insurers about $32,982 — about the fair price. Located in Apple Valley, 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 $32,982 - $50,993 140%
Blue Cross Blue Shieldmajor $32,982 140%
Aetnamajor $32,982 140%
Cignamajor $32,982 - $49,622 140%
Humanamajor $32,982 140%
Kaiser Permanentemajor $32,982 140%
Health Net $32,982 - $57,970 140%
Molina $32,982 140%
Providence Health Plan $32,982 140%
WellCare $32,982 140%
+ 10 smaller / regional plans $32,982

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Facility Profile & Credentials

  • Address: 18300 Highway 18, Apple Valley, CA 92307
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals