CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Edward Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,004
about 1.3× the $23,504 Medicare rate · typically $24,686–$39,230
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,728
Below the fair price — a good deal
about $6,276 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $31,004 This hospital $24,728

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IL hospitals compared.

Cheapest $20,475 Priciest $25,333

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 $31,004 (about 1.3× the $23,504 Medicare rate). Edward Hospital charges insurers about $24,728 — below the fair price — a good deal. Located in Naperville, 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 $24,728 - $37,600 105%
Blue Cross Blue Shieldmajor $24,728 - $39,664 105%
Aetnamajor $24,728 - $28,852 105%
Cignamajor $24,728 105%
Humanamajor $24,728 105%
Devoted Health $24,728 105%
Meridian $24,728 105%
Molina $24,728 105%
WellCare $24,728 105%
+ 3 smaller / regional plans $24,728

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Facility Profile & Credentials

  • Address: 801 South Washington, Naperville, IL 60540
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals