CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Memorialcare Saddleback Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,442
about 1.5× the $23,504 Medicare rate · typically $28,766–$48,747
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,041
About the fair price
about $4,599 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $34,442 This hospital $39,041

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 $39,041

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 $34,442 (about 1.5× the $23,504 Medicare rate). Memorialcare Saddleback Medical Center charges insurers about $39,041 — about the fair price. Located in Laguna Hills, 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✓ 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 $30,142 - $105,405 128%
Blue Cross Blue Shieldmajor $29,539 - $75,713 126%
Aetnamajor $30,142 - $158,331 128%
Cignamajor $52,270 - $82,166 222%
Humanamajor $30,142 128%
Health Net $30,142 - $108,200 128%
SelectHealth $31,649 - $40,691 135%
+ 13 smaller / regional plans $28,032 - $67,819

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Facility Profile & Credentials

  • Address: 24451 Health Center Drive, Laguna Hills, CA 92653
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals