CMS Price Transparency Data
Spinal fusion, single level (inpatient stay)
Facility: Midstate Medical Center
Billing Code: 451 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$28,586
about 1.2× the $23,504 Medicare rate · typically $19,342–$45,186
modeled estimate · not a bill or quote
Medicare pays $23,504 Fair price $28,586 Cash price $89,394 Hospital's list price $89,394
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $8,829 | 38% |
| Blue Cross Blue Shieldmajor | $8,829 - $21,900 | 38% |
| Aetnamajor | $9,050 - $93,933 | 39% |
| Molina | $8,829 | 38% |
| Tufts Health Plan | $8,829 | 38% |
| WellCare | $9,006 | 38% |
| + 1 smaller / regional plan | $8,829 |
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Other Procedures at Midstate Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other CT hospitals
- The Hospital of Central Connecticut · New Britain $15,724
- Windham Community Memorial Hospital · Willimantic $16,050
- St Vincent's Medical Center · Bridgeport $21,665
- Hartford Hospital · Hartford $24,813
- Griffin Hospital · Derby $31,469
- Gaylord Hospital · Wallingford $32,806
- John Dempsey Hospital of the University of Connect · Farmington $44,950
- Bristol Hospital · Bristol $50,283
Insurance negotiated median for the same procedure, sorted lowest first.