Spinal fusion, single level (inpatient stay)
Facility: Community Medical Center
Billing Code: 451 (MS-DRG)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
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 $33,751 (about 1.4× the $23,504 Medicare rate). Community Medical Center charges insurers about $54,890, or about $2,426 in cash — above the fair price. Located in Toms River, 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 $33,751. 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
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 | $27,498 - $82,362 | 117% |
| Blue Cross Blue Shieldmajor | $6,471 - $26,959 | 28% |
| Aetnamajor | $26,959 - $74,385 | 115% |
| Cignamajor | $56,131 - $75,122 | 239% |
| Humanamajor | $26,959 | 115% |
| Clover Health | $26,959 | 115% |
| Fidelis Care | $26,959 | 115% |
| WellCare | $53,649 | 228% |
| + 1 smaller / regional plan | $42,531 |
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.
Other Procedures at Community 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.