CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Wilcox Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,240
about 1.3× the $23,504 Medicare rate · typically $16,068–$42,864
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,591
Above the fair price
about $9,351 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $30,240 This hospital $39,591

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 6 of 7 other HI hospitals charge less.

Cheapest $30,699 Priciest $42,489

Black dot = this hospital, among the 8 HI hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $30,240 (about 1.3× the $23,504 Medicare rate). Wilcox Memorial Hospital charges insurers about $39,591 — above the fair price. Located in Lihue, HI.

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 $30,240. 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.

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

✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana

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
Kaiser Permanentemajor $76,740 326%
Devoted Health $41,159 175%
+ 8 smaller / regional plans $8,162 - $39,983

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: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals