CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: McLaren Oakland

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,666
about 1.4× the $23,504 Medicare rate · typically $15,880–$49,178
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,955
Above the fair price
about $5,289 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $32,666 This hospital $37,955 Cash price $53,016 Hospital's list price $106,032

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $14,842 Priciest $37,955

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,666 (about 1.4× the $23,504 Medicare rate). McLaren Oakland charges insurers about $37,955, or about $53,016 in cash — above the fair price. Located in Pontiac, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $32,666. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $70,752 301%
Humanamajor $22,431 95%
+ 1 smaller / regional plan $37,955
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 50 N Perry St, Pontiac, MI 48342
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals