CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Nemours Childrens Hospital, Florida

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$29,945
about 1.3× the $23,504 Medicare rate · typically $14,562–$46,051
modeled estimate · not a bill or quote
What this hospital charges insurers
$55,655
Well above the fair price
about $25,710 over the fair price · 2.4× Medicare
Medicare pays $23,504 Fair price $29,945 This hospital $55,655 Cash price $116,796 Hospital's list price $116,796

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 $55,655

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 $29,945 (about 1.3× the $23,504 Medicare rate). Nemours Childrens Hospital, Florida charges insurers about $55,655, or about $116,796 in cash — well above the fair price. Located in Orlando, 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 $29,945. 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 $66,856 284%
Blue Cross Blue Shieldmajor $37,878 - $82,958 161%
Aetnamajor $61,966 264%
Cignamajor $68,707 292%
AvMed $51,547 219%
+ 1 smaller / regional plan $33,066
Excludes 1 rental-network / third-party entry (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.

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Facility Profile & Credentials

  • Address: 6535 Nemours Pkwy, Orlando, FL 32827
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens