CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$38,119
about 1.6× the $23,504 Medicare rate · typically $17,954–$44,868
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,077
About the fair price
about $3,042 under the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $38,119 This hospital $35,077

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $20,910 Priciest $35,077

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $38,119 (about 1.6× the $23,504 Medicare rate). Novant Health Presbyterian Medical Center charges insurers about $35,077 — about the fair price. Located in Charlotte, NC.

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 $30,921 - $68,688 132%
Blue Cross Blue Shieldmajor $30,921 - $63,823 132%
Aetnamajor $31,694 135%
Cignamajor $31,848 - $63,151 136%
Humanamajor $30,921 132%
AmeriHealth $35,077 149%
CareSource $35,534 151%
WellCare $35,077 149%
+ 4 smaller / regional plans $30,921 - $61,841

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: 200 Hawthorne Lane Box 33549, Charlotte, NC 28233
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals