CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Vidant Edgecombe Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,262
about 1.2× the $23,504 Medicare rate · typically $23,319–$32,706
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,687
About the fair price
about $2,575 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,262 This hospital $26,687 Cash price $79,212 Hospital's list price $141,451

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

On the higher side — 6 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 $29,262 (about 1.2× the $23,504 Medicare rate). Vidant Edgecombe Hospital charges insurers about $26,687, or about $79,212 in cash — about the fair price. Located in Tarboro, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $25,925 110%
Blue Cross Blue Shieldmajor $25,417 - $41,463 108%
Aetnamajor $26,687 114%
Humanamajor $25,417 108%
AmeriHealth $41,463 176%
WellCare $41,463 176%
+ 3 smaller / regional plans $18,244 - $41,463

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Facility Profile & Credentials

  • Address: 111 Hospital Dr, Tarboro, NC 27886
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals