CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Hospital of Folsom

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,084
about 1.4× the $23,504 Medicare rate · typically $27,395–$42,342
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,162
About the fair price
about $2,922 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $33,084 This hospital $30,162

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 CA hospitals compared.

Cheapest $21,342 Priciest $30,932

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 $33,084 (about 1.4× the $23,504 Medicare rate). Mercy Hospital of Folsom charges insurers about $30,162 — about the fair price. Located in Folsom, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $26,020 - $30,765 111%
Blue Cross Blue Shieldmajor $28,503 - $31,067 121%
Aetnamajor $30,162 128%
Humanamajor $30,162 128%
Kaiser Permanentemajor $30,162 128%
+ 1 smaller / regional plan $19,565

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Facility Profile & Credentials

  • Address: 1650 Creekside Drive, Folsom, CA 95630
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals