CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Luke's Warren Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$32,262
about 1.4× the $23,504 Medicare rate · typically $24,598–$53,051
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,710
About the fair price
about $1,552 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $32,262 This hospital $30,710

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 $30,710

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 $32,262 (about 1.4× the $23,504 Medicare rate). St Luke's Warren Hospital charges insurers about $30,710 — about the fair price. Located in Phillipsburg, 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 $29,387 125%
Blue Cross Blue Shieldmajor $29,387 - $64,868 125%
Aetnamajor $29,975 - $53,320 128%
Cignamajor $35,534 151%
Humanamajor $30,563 130%
Geisinger $29,975 128%
UPMC Health Plan $30,857 131%

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Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals