CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Kootenai Health

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,069
about 1.1× the $23,504 Medicare rate · typically $18,302–$31,786
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,310
About the fair price
about $241 over the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $26,069 This hospital $26,310

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 5 charge more and 3 charge less, among the 9 ID hospitals compared.

Cheapest $23,275 Priciest $84,412

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,069 (about 1.1× the $23,504 Medicare rate). Kootenai Health charges insurers about $26,310 — about the fair price. Located in Coeur D'Alene, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $26,049 111%
Blue Cross Blue Shieldmajor $26,049 - $26,310 111%
Aetnamajor $27,352 116%
Humanamajor $26,049 111%
Kaiser Permanentemajor $65,905 280%
Molina $26,831 114%
PacificSource $26,310 - $45,872 112%

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals