CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Englewood Hospital and Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$34,748

about 1.5× the $23,504 Medicare rate · typically $27,135–$60,191

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,607

Below the fair price — a good deal

about $4,141 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $34,748 This hospital $30,607

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 $30,607

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 $34,748 (about 1.5× the $23,504 Medicare rate). Englewood Hospital and Medical Center charges insurers about $30,607 — below the fair price — a good deal. Located in Englewood, NJ.

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	$54,878 - $55,482	233%
Blue Cross Blue Shieldmajor	$10,187 - $29,861	43%
Aetnamajor	$29,861 - $51,409	127%
Cignamajor	$55,386	236%
Humanamajor	$29,861	127%
Amerigroup	$29,861	127%
AmeriHealth	$29,861 - $62,821	127%
Clover Health	$29,861	127%
MagnaCare	$32,491 - $48,430	138%
WellCare	$32,249	137%
+ 5 smaller / regional plans	$26,874 - $54,878

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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, 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 Englewood Hospital and 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 Englewood Hospital and 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.