CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Carle Health Pekin Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,360
about 1.2× the $23,504 Medicare rate · typically $25,925–$36,540
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,394
About the fair price
about $34 over the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $28,360 This hospital $28,394

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $20,475 Priciest $28,394

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,360 (about 1.2× the $23,504 Medicare rate). Carle Health Pekin Hospital charges insurers about $28,394 — about the fair price. Located in Pekin, IL.

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✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $24,478 - $38,041 104%
Blue Cross Blue Shieldmajor $24,478 - $43,417 104%
Aetnamajor $24,478 - $35,069 104%
Cignamajor $28,502 121%
Humanamajor $24,478 104%
HealthLink $35,580 - $39,850 151%
Meridian $28,394 121%
Molina $24,478 104%
WellCare $24,478 104%

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Facility Profile & Credentials

  • Address: 600 South 13Th Street, Pekin, IL 61554
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals