CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Jersey Shore University 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
$30,046
Below the fair price — a good deal
about $4,454 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $34,500 This hospital $30,046 Cash price $26,180

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 $30,046

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). Jersey Shore University Medical Center charges insurers about $30,046, or about $26,180 in cash — below the fair price — a good deal. Located in Neptune, 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 $22,052 - $131,464 94%
Blue Cross Blue Shieldmajor $27,565 117%
Aetnamajor $27,565 - $131,646 117%
Cignamajor $89,994 - $99,573 383%
Amerigroup $27,565 117%
Clover Health $30,322 129%
WellCare $27,565 117%
+ 5 smaller / regional plans $16,183 - $122,570
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 1945 Rte 33, Neptune, NJ 07754
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals