CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Piedmont Newton Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$35,347
about 1.5× the $23,504 Medicare rate · typically $25,995–$53,969
modeled estimate · not a bill or quote
What this hospital charges insurers
$48,744
Above the fair price
about $13,397 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $35,347 This hospital $48,744 Cash price $55,549 Hospital's list price $185,162

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 $48,744

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 $35,347 (about 1.5× the $23,504 Medicare rate). Piedmont Newton Hospital charges insurers about $48,744, or about $55,549 in cash — above the fair price. Located in Covington, 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 $35,347. 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 $26,901 - $72,338 114%
Blue Cross Blue Shieldmajor $69,144 - $72,330 294%
Aetnamajor $48,744 207%
Cignamajor $51,690 - $76,741 220%
Ambetter (Centene) $46,672 199%
CareSource $55,346 235%
+ 2 smaller / regional plans $27,287 - $27,544
Government programs also on file: Medicare.

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: 5126 Hospital Drive Ne, Covington, GA 30014
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals