CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,640
about 1.4× the $23,504 Medicare rate · typically $16,444–$43,400
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,903
About the fair price
about $3,263 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $33,640 This hospital $36,903

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 $36,903

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 $33,640 (about 1.4× the $23,504 Medicare rate). Carolinas Medical Center/Behav Health charges insurers about $36,903 — 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 $30,961 - $34,785 132%
Blue Cross Blue Shieldmajor $13,221 - $59,415 56%
Aetnamajor $30,429 129%
Cignamajor $30,870 - $55,234 131%
Humanamajor $29,988 128%
Ambetter (Centene) $33,162 - $41,754 141%
AmeriHealth $36,221 - $37,272 154%
Molina $37,873 - $40,318 161%
WellCare $36,903 157%
+ 6 smaller / regional plans $36,903 - $38,010

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Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals