CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Leahi Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$35,989

about 1.5× the $23,504 Medicare rate · typically $15,599–$46,370

modeled estimate · not a bill or quote

What this hospital charges insurers

$32,273

Below the fair price — a good deal

about $3,716 under the fair price · 1.4× Medicare

Medicare pays $23,504 Fair price $35,989 This hospital $32,273

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

One of the lower prices — 5 of 7 other HI hospitals charge more for the same procedure.

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 $35,989 (about 1.5× the $23,504 Medicare rate). Leahi Hospital charges insurers about $32,273 — below the fair price — a good deal. Located in Honolulu, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

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	$32,273	137%
Humanamajor	$32,273	137%
Kaiser Permanentemajor	$32,273	137%
+ 3 smaller / regional plans	$32,273

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Leahi Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Leahi Hospital

Compare: Spinal fusion, single level (inpatient stay) at other HI hospitals

Kuakini Medical Center · Honolulu $30,699
Straub Clinic and Hospital · Honolulu $30,864
Pali Momi Medical Center · Aiea $32,316
The Queens Medical Center · Honolulu $33,247
North Hawaii Community Hospital, Inc · Kamuela $36,175
Wilcox Memorial Hospital · Lihue $39,591
Kona Community Hospital · Kealakekua $42,489

Insurance negotiated median for the same procedure, sorted lowest first.