CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Raritan Bay Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$34,500

about 1.5× the $23,504 Medicare rate · typically $27,089–$60,654

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,649

Below the fair price — a good deal

about $3,851 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $34,500 This hospital $30,649 Cash price $26,693

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 $30,649

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 $34,500 (about 1.5× the $23,504 Medicare rate). Raritan Bay Medical Center charges insurers about $30,649, or about $26,693 in cash — below the fair price — a good deal. Located in Perth Amboy, NJ.

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✓ Cigna HumanaKaiser 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	$29,525 - $116,592	126%
Blue Cross Blue Shieldmajor	$28,119	120%
Aetnamajor	$28,119 - $86,084	120%
Cignamajor	$96,968 - $106,640	413%
Amerigroup	$28,119 - $30,087	120%
Clover Health	$30,931	132%
WellCare	$28,119	120%
+ 5 smaller / regional plans	$5,095 - $98,632

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 26,693), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Raritan Bay Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Raritan Bay Medical Center

Compare: Spinal fusion, single level (inpatient stay) at other NJ hospitals

Shore Medical Center · Somers Point $24,753
Valley Hospital · Paramus $25,358
Carewell Health Medical Center · East Orange $26,027
Riverview Medical Center · Red Bank $26,690
Southern Ocean Medical Center · Manahawkin $26,754
Bayshore Medical Center · Holmdel $26,870
Jfk University Medical Center · Edison $28,738
Centrastate Medical Center · Freehold $29,671

Insurance negotiated median for the same procedure, sorted lowest first.