CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence Mission Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,997
about 1.4× the $23,504 Medicare rate · typically $30,507–$50,378
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,316
About the fair price
about $2,681 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $33,997 This hospital $31,316

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 $31,316

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 $33,997 (about 1.4× the $23,504 Medicare rate). Providence Mission Hospital charges insurers about $31,316 — about the fair price. Located in Mission Viejo, 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 $31,316 - $73,960 133%
Blue Cross Blue Shieldmajor $31,316 - $42,115 133%
Aetnamajor $31,316 133%
Cignamajor $31,316 - $60,562 133%
Humanamajor $31,316 133%
Kaiser Permanentemajor $31,316 133%
Health Net $31,316 - $71,344 133%
Molina $31,316 133%
Providence Health Plan $31,316 133%
WellCare $31,316 133%
+ 10 smaller / regional plans $31,316 - $33,898

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Facility Profile & Credentials

  • Address: 27700 Medical Center Rd, Mission Viejo, CA 92691
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals