CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$38,061
about 1.6× the $23,504 Medicare rate · typically $27,929–$41,177
modeled estimate · not a bill or quote
What this hospital charges insurers
$41,450
About the fair price
about $3,389 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $38,061 This hospital $41,450

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 $41,450

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 $38,061 (about 1.6× the $23,504 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $41,450 — about the fair price. Located in San Francisco, 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 $25,082 - $42,279 107%
Blue Cross Blue Shieldmajor $41,450 176%
Aetnamajor $41,450 176%
Humanamajor $41,450 176%
Kaiser Permanentemajor $41,450 176%
Health Net $41,450 176%
Oscar Health $125,593 534%
+ 4 smaller / regional plans $41,450 - $120,204

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Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals