CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Advocate Condell Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$37,142
about 1.6× the $23,504 Medicare rate · typically $24,920–$47,381
modeled estimate · not a bill or quote
What this hospital charges insurers
$40,643
About the fair price
about $3,501 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $37,142 This hospital $40,643

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 $40,643

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 $37,142 (about 1.6× the $23,504 Medicare rate). Advocate Condell Medical Center charges insurers about $40,643 — about the fair price. Located in Libertyville, IL.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $30,808 - $34,060 131%
Blue Cross Blue Shieldmajor $31,869 - $42,781 136%
Aetnamajor $40,646 173%
Cignamajor $35,082 - $66,028 149%
Ambetter (Centene) $42,398 180%
Molina $42,398 180%
Oscar Health $43,860 187%
+ 1 smaller / regional plan $56,141

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Facility Profile & Credentials

  • Address: 801 S Milwaukee Ave, Libertyville, IL 60048
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals