CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Atrium Health Pineville

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,796
about 1.4× the $23,504 Medicare rate · typically $16,293–$44,952
modeled estimate · not a bill or quote
What this hospital charges insurers
$48,843
Above the fair price
about $15,047 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $33,796 This hospital $48,843

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 $48,843

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 $33,796 (about 1.4× the $23,504 Medicare rate). Atrium Health Pineville charges insurers about $48,843 — above the fair price. Located in Charlotte, NC.

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 $33,796. 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.

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 $23,156 - $46,445 99%
Blue Cross Blue Shieldmajor $47,139 - $62,026 201%
Aetnamajor $22,758 97%
Cignamajor $23,088 - $55,234 98%
Humanamajor $22,428 95%
Ambetter (Centene) $33,162 - $41,754 141%
AmeriHealth $48,364 206%
WellCare $49,274 210%
+ 6 smaller / regional plans $48,843 - $50,752

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: 10628 Park Rd, Charlotte, NC 28210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals