CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Pikeville Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,190
about 1.1× the $23,504 Medicare rate · typically $14,593–$30,126
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,110
About the fair price
about $1,920 over the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $25,190 This hospital $27,110

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $21,483 Priciest $27,110

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $25,190 (about 1.1× the $23,504 Medicare rate). Pikeville Medical Center charges insurers about $27,110 — about the fair price. Located in Pikeville, KY.

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✓ Humana CignaKaiser 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 $22,573 96%
Blue Cross Blue Shieldmajor $22,131 - $49,589 94%
Aetnamajor $22,131 94%
Humanamajor $22,131 94%
CareSource $32,090 137%
Sentara $22,131 94%
WellCare $22,131 - $30,983 94%
+ 3 smaller / regional plans $22,131 - $44,262

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Facility Profile & Credentials

  • Address: 911 Bypass Road, Pikeville, KY 41501
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals