CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: The McDowell Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,847
about 1.3× the $23,504 Medicare rate · typically $21,670–$38,861
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,838
Below the fair price — a good deal
about $3,009 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,847 This hospital $26,838

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

On the higher side — 7 of 8 other NC hospitals charge less.

Cheapest $20,910 Priciest $27,510

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 $29,847 (about 1.3× the $23,504 Medicare rate). The McDowell Hospital charges insurers about $26,838 — below the fair price — a good deal. Located in Marion, 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 $25,362 - $25,438 108%
Blue Cross Blue Shieldmajor $38,588 164%
Aetnamajor $25,947 110%
Cignamajor $26,456 113%
Humanamajor $26,202 - $26,456 111%
Ambetter (Centene) $119,818 510%
AmeriHealth $29,000 - $55,023 123%
Devoted Health $25,947 110%
WellCare $26,202 - $39,746 111%
+ 9 smaller / regional plans $25,947 - $40,517

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Facility Profile & Credentials

  • Address: 430 Rankin Drive P O Box 730, Marion, NC 28752
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals