CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: University of Miami Hospital and Clinics

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,721
about 1.4× the $23,504 Medicare rate · typically $14,847–$57,548
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,814
Above the fair price
about $10,093 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $32,721 This hospital $42,814

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $10,946 Priciest $42,814

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,721 (about 1.4× the $23,504 Medicare rate). University of Miami Hospital and Clinics charges insurers about $42,814 — above the fair price. Located in Miami, FL.

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 $32,721. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $40,328 - $45,991 172%
Blue Cross Blue Shieldmajor $35,140 - $51,664 150%
Aetnamajor $30,844 - $45,125 131%
Cignamajor $37,805 - $45,549 161%
AmeriHealth $40,364 172%
AvMed $52,258 - $58,887 222%
Molina $37,666 160%
Oscar Health $39,979 170%
+ 2 smaller / regional plans $42,357 - $48,327

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: 1475 Nw 12Th Ave Suite 2175, Miami, FL 33136
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL