CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Atrium Health Union

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,839
about 1.4× the $23,504 Medicare rate · typically $16,294–$43,517
modeled estimate · not a bill or quote
What this hospital charges insurers
$41,184
Above the fair price
about $7,345 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $33,839 This hospital $41,184

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 $41,184

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 $33,839 (about 1.4× the $23,504 Medicare rate). Atrium Health Union charges insurers about $41,184 — above the fair price. Located in Monroe, 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 $33,839. 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 $24,315 - $40,023 103%
Blue Cross Blue Shieldmajor $40,038 - $52,681 170%
Aetnamajor $23,897 102%
Cignamajor $24,243 - $55,234 103%
Humanamajor $23,551 100%
Ambetter (Centene) $33,162 - $41,754 141%
AmeriHealth $40,424 172%
WellCare $41,184 175%
+ 6 smaller / regional plans $41,184 - $42,420

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.

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Facility Profile & Credentials

  • Address: 600 Hospital Dr, Monroe, NC 28112
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals