Spinal fusion, single level (inpatient stay)
Facility: Windham Community Memorial Hospital
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $16,050 compared to the $28,113 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.57× fair market pricing.
One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Spinal fusion, single level (inpatient stay) is about $28,113 (about 1.2× the $23,504 Medicare rate). Windham Community Memorial Hospital charges insurers about $16,050, or about $92,350 in cash — below the fair price — a good deal. Located in Willimantic, CT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $12,791 - $51,597 | 54% |
| Blue Cross Blue Shieldmajor | $12,791 - $21,400 | 54% |
| Aetnamajor | $13,111 - $78,570 | 56% |
| Cignamajor | $20,120 | 86% |
| Molina | $12,791 - $22,599 | 54% |
| Tufts Health Plan | $12,791 | 54% |
| WellCare | $13,047 | 56% |
| + 1 smaller / regional plan | $12,791 |
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.
Other Procedures at Windham Community Memorial Hospital
Compare: Spinal fusion, single level (inpatient stay) at other CT hospitals
- The Hospital of Central Connecticut · New Britain $15,724
- 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 $46,406
- Bristol Hospital · Bristol $50,283
- Saint Mary's Hospital · Waterbury $62,476
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Windham Community Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $33,523
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $33,523).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Windham Community Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $92,350 (vs. $16,050 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $28,113 Fair BaseRate ($23,504 Medicare)
Your bill ($92,350) is $64,237 above the denoised Fair BaseRate ($28,113) and 3.9× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.