CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Novant Health Ballantyne Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$37,537
about 1.6× the $23,504 Medicare rate · typically $17,228–$44,562
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,044
About the fair price
about $507 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $37,537 This hospital $38,044

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 $38,044

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 $37,537 (about 1.6× the $23,504 Medicare rate). Novant Health Ballantyne Medical Center charges insurers about $38,044 — 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 $6,666 - $68,588 28%
Blue Cross Blue Shieldmajor $20,625 - $63,823 88%
Aetnamajor $21,141 90%
Cignamajor $21,244 - $63,151 90%
Humanamajor $20,625 88%
AmeriHealth $38,805 165%
CareSource $35,534 151%
WellCare $38,805 165%
+ 4 smaller / regional plans $20,625 - $41,250

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Facility Profile & Credentials

  • Address: 10905 Providence Road W, Charlotte, NC 28277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals