CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Emory Long Term Acute Care

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$37,395
about 1.6× the $23,504 Medicare rate · typically $16,682–$60,417
modeled estimate · not a bill or quote
What this hospital charges insurers
$59,661
Above the fair price
about $22,266 over the fair price · 2.5× Medicare
Medicare pays $23,504 Fair price $37,395 This hospital $59,661

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 $59,661

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 $37,395 (about 1.6× the $23,504 Medicare rate). Emory Long Term Acute Care charges insurers about $59,661 — above the fair price. Located in Decatur, 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 $37,395. 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $59,661 254%
Aetnamajor $60,725 258%
Cignamajor $61,620 262%
Humanamajor $51,607 220%
Oscar Health $42,806 182%

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: 450N Candler St, Decatur, GA 30030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL