CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Clara Maass Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,368
about 1.5× the $23,504 Medicare rate · typically $26,864–$59,842
modeled estimate · not a bill or quote
What this hospital charges insurers
$51,287
Above the fair price
about $16,919 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $34,368 This hospital $51,287 Cash price $2,335

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $24,753 Priciest $51,287

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,368 (about 1.5× the $23,504 Medicare rate). Clara Maass Medical Center charges insurers about $51,287, or about $2,335 in cash — above the fair price. Located in Belleville, NJ.

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 $34,368. 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 $27,040 - $77,696 115%
Blue Cross Blue Shieldmajor $5,802 - $26,509 25%
Aetnamajor $26,509 - $72,407 113%
Cignamajor $49,820 - $66,673 212%
Humanamajor $26,509 113%
Clover Health $26,509 113%
Fidelis Care $26,509 113%
WellCare $52,754 224%
+ 1 smaller / regional plan $44,343

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: One Clara Maass Drive, Belleville, NJ 07109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals