CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Piedmont Athens Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$35,643
about 1.5× the $23,504 Medicare rate · typically $23,579–$53,354
modeled estimate · not a bill or quote
What this hospital charges insurers
$52,166
Above the fair price
about $16,523 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $35,643 This hospital $52,166 Cash price $48,275 Hospital's list price $160,917

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 $52,166

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 $35,643 (about 1.5× the $23,504 Medicare rate). Piedmont Athens Regional Medical Center charges insurers about $52,166, or about $48,275 in cash — above the fair price. Located in Athens, 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 $35,643. 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 $26,326 - $95,465 112%
Blue Cross Blue Shieldmajor $45,389 - $90,010 193%
Aetnamajor $48,924 208%
Cignamajor $49,086 - $76,176 209%
Ambetter (Centene) $22,606 96%
CareSource $58,333 248%
+ 4 smaller / regional plans $26,704 - $64,127
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: 1199 Prince Avenue, Athens, GA 30606
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals