CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mainehealth Maine Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,675
about 1.1× the $23,504 Medicare rate · typically $19,671–$32,658
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,457
About the fair price
about $218 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $26,675 This hospital $26,457

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 2 of 3 other ME hospitals charge more for the same procedure.

Cheapest $22,613 Priciest $41,973

Black dot = this hospital, among the 4 ME hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,675 (about 1.1× the $23,504 Medicare rate). Mainehealth Maine Medical Center charges insurers about $26,457 — about the fair price. Located in Portland, ME.

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 $26,326 112%
Blue Cross Blue Shieldmajor $26,589 - $88,191 113%
Aetnamajor $26,326 112%
Humanamajor $26,326 112%
WellCare $27,116 115%

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Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals