CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Saint Mary's Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,162
about 1.3× the $23,504 Medicare rate · typically $23,584–$60,824
modeled estimate · not a bill or quote
What this hospital charges insurers
$62,476
Well above the fair price
about $32,314 over the fair price · 2.7× Medicare
Medicare pays $23,504 Fair price $30,162 This hospital $62,476 Cash price $36,109

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Highest price of the 9 CT hospitals we have prices for — worth calling around.

Cheapest $15,724 Priciest $62,476

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $30,162 (about 1.3× the $23,504 Medicare rate). Saint Mary's Hospital charges insurers about $62,476, or about $36,109 in cash — well above the fair price. Located in Waterbury, CT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $30,162. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Kaiser Permanente Humana

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 $29,909 - $76,118 127%
Blue Cross Blue Shieldmajor $29,909 - $62,476 127%
Aetnamajor $29,909 - $62,670 127%
Cignamajor $30,806 - $77,523 131%
Kaiser Permanentemajor $62,476 266%
GEHA $76,118 324%
Harvard Pilgrim $76,118 324%
HealthPartners $77,523 330%
MagnaCare $77,523 330%
UniCare $62,476 266%
+ 18 smaller / regional plans $27,427 - $77,523
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals