CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Saint Joseph's Hospital of Atlanta, Inc

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,286
about 1.5× the $23,504 Medicare rate · typically $25,686–$50,252
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,806
Above the fair price
about $8,520 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $34,286 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 $34,286 (about 1.5× the $23,504 Medicare rate). Saint Joseph's Hospital of Atlanta, Inc 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 $34,286. 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 $23,440 - $65,512 100%
Blue Cross Blue Shieldmajor $23,674 - $59,661 101%
Aetnamajor $23,909 - $60,725 102%
Cignamajor $24,143 - $61,620 103%
Humanamajor $51,607 220%
Kaiser Permanentemajor $23,440 100%
Ambetter (Centene) $49,692 211%
Clover Health $24,612 105%
Devoted Health $23,440 100%
Oscar Health $42,806 182%
WellCare $24,846 106%
+ 1 smaller / regional plan $24,612
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5665 Peachtree Dunwoody Road, Atlanta, GA 30342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals