CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ascension Providence Rochester Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$31,481

about 1.3× the $23,504 Medicare rate · typically $17,115–$47,022

modeled estimate · not a bill or quote

What this hospital charges insurers

$24,568

Below the fair price — a good deal

about $6,913 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $31,481 This hospital $24,568

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 $24,568

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 $31,481 (about 1.3× the $23,504 Medicare rate). Ascension Providence Rochester Hospital charges insurers about $24,568 — below the fair price — a good deal. Located in Rochester, MI.

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	$24,568	105%
Humanamajor	$24,568	105%
Meridian	$30,710	131%
Priority Health	$24,568	105%
+ 2 smaller / regional plans	$21,865 - $46,679

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Ascension Providence Rochester Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ascension Providence Rochester Hospital

Compare: Spinal fusion, single level (inpatient stay) at other MI hospitals

Beacon Plainwell · Plainwell $14,842
Ascension River District Hospital · East China $20,415
Henry Ford Health West Bloomfield Hospital · W Bloomfield $22,002
Henry Ford Macomb Hospital · Clinton Township $22,412
Surgeons Choice Medical Center · Southfield $22,444
Wyandotte Hospital and Medical Center · Wyandotte $22,552
Henry Ford Allegiance Health · Jackson $22,628
Corewell Health Watervliet Hospital · Watervliet $23,160

Insurance negotiated median for the same procedure, sorted lowest first.