CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Maple Grove Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$26,832

about 1.1× the $23,504 Medicare rate · typically $23,642–$35,105

modeled estimate · not a bill or quote

What this hospital charges insurers

$25,074

About the fair price

about $1,758 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $26,832 This hospital $25,074 Cash price $31,087 Hospital's list price $58,988

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MN hospitals compared.

Cheapest $12,333 Priciest $25,922

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,832 (about 1.1× the $23,504 Medicare rate). Maple Grove Hospital charges insurers about $25,074, or about $31,087 in cash — about the fair price. Located in Maple Grove, MN.

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	$25,195 - $58,464	107%
Blue Cross Blue Shieldmajor	$24,710	105%
Aetnamajor	$26,890	114%
Cignamajor	$60,886	259%
Humanamajor	$24,035	102%
HealthPartners	$24,274 - $58,474	103%
Medica	$23,741 - $24,952	101%
UCare	$24,710 - $43,606	105%

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 (about 31,087), 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 Maple Grove 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 Maple Grove Hospital

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

Kittson Healthcare · Hallock $12,333
Winona Health Services · Winona $24,052
North Memorial Health Hospital · Robbinsdale $24,282
Alomere Health · Alexandria $24,329
Range Regional Health Services · Hibbing $24,692
M Health Fairview Ridges Hospital · Burnsville $25,868
St Lukes Hospital · Duluth $25,872
M Health Fairview St John's Hospital · Maplewood $25,922

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