CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Emory University Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,079
about 1.3× the $23,504 Medicare rate · typically $22,432–$46,389
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,806
Above the fair price
about $11,727 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $31,079 This hospital $42,806

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $12,060 Priciest $42,806

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $31,079 (about 1.3× the $23,504 Medicare rate). Emory University Hospital charges insurers about $42,806 — above the fair price. Located in Atlanta, GA.

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 $31,079. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $30,493 - $65,512 130%
Blue Cross Blue Shieldmajor $30,798 - $59,661 131%
Aetnamajor $31,103 - $60,725 132%
Cignamajor $31,408 - $61,620 134%
Humanamajor $51,607 220%
Kaiser Permanentemajor $30,493 130%
Ambetter (Centene) $64,646 275%
Clover Health $32,018 136%
Devoted Health $30,493 130%
Oscar Health $42,806 182%
WellCare $32,323 138%
+ 1 smaller / regional plan $32,018
Government programs also on file: Military & VA.

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: 1364 Clifton Road, Ne, Atlanta, GA 30322
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals