CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Sgmc Berrien Campus

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,350
about 1.3× the $23,504 Medicare rate · typically $18,868–$55,504
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,122
Above the fair price
about $7,772 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $30,350 This hospital $38,122

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 $38,122

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 $30,350 (about 1.3× the $23,504 Medicare rate). Sgmc Berrien Campus charges insurers about $38,122 — above the fair price. Located in Nashville, 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 $30,350. 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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
WellCare $31,768 135%
+ 2 smaller / regional plans $38,122 - $47,653

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: 1221 E McPherson Avenue, Nashville, GA 31639
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals