CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Henry Mayo Newhall Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$35,320

about 1.5× the $23,504 Medicare rate · typically $30,586–$52,096

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,932

Below the fair price — a good deal

about $4,388 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $35,320 This hospital $30,932

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 $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 $35,320 (about 1.5× the $23,504 Medicare rate). Henry Mayo Newhall Hospital charges insurers about $30,932 — below the fair price — a good deal. Located in Valencia, 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	$7,419 - $42,377	32%
Blue Cross Blue Shieldmajor	$6,585 - $30,932	28%
Aetnamajor	$6,811 - $30,932	29%
Cignamajor	$7,341	31%
Humanamajor	$30,932	132%
Kaiser Permanentemajor	$30,932	132%
Health Net	$5,295 - $43,305	23%
Providence Health Plan	$30,932	132%
+ 3 smaller / regional plans	$10,920 - $45,470

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Henry Mayo Newhall Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Henry Mayo Newhall Hospital

Compare: Spinal fusion, single level (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $21,342
French Hospital Medical Center · San Luis Obispo $28,890
Salinas Valley Memorial Hospital · Salinas $28,958
Mercy Hospital of Folsom · Folsom $30,162
Good Samaritan Hospital, LP · Bakersfield $30,419
Sierra Nevada Memorial Hospital · Grass Valley $30,438
Mercy Medical Center Redding · Redding $30,746
Mercy Hospital · Bakersfield $30,802

Insurance negotiated median for the same procedure, sorted lowest first.