CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Loma Linda University Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,070
about 1.4× the $23,504 Medicare rate · typically $24,352–$45,378
modeled estimate · not a bill or quote
What this hospital charges insurers
$46,273
Above the fair price
about $13,203 over the fair price · 2.0× Medicare
Medicare pays $23,504 Fair price $33,070 This hospital $46,273

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 $46,273

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 $33,070 (about 1.4× the $23,504 Medicare rate). Loma Linda University Medical Center charges insurers about $46,273 — above the fair price. Located in Loma Linda, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $33,070. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna✓ Kaiser Permanente CignaHumana

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 $34,276 146%
Blue Cross Blue Shieldmajor $52,465 - $70,626 223%
Aetnamajor $81,220 346%
Kaiser Permanentemajor $34,276 146%
Molina $45,930 195%
+ 2 smaller / regional plans $34,276 - $46,273
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 11234 Anderson St, Loma Linda, CA 92354
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals