CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,800
about 1.5× the $23,504 Medicare rate · typically $26,100–$59,283
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,008
Below the fair price — a good deal
about $7,792 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $34,800 This hospital $27,008

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NY hospitals compared.

Cheapest $24,445 Priciest $28,662

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,800 (about 1.5× the $23,504 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $27,008 — below the fair price — a good deal. Located in Mount Vernon, NY.

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 $24,664 - $105,760 105%
Blue Cross Blue Shieldmajor $24,664 105%
Aetnamajor $88,924 - $99,471 378%
Cignamajor $91,895 - $102,106 391%
Humanamajor $25,404 108%
Fidelis Care $24,664 105%
Molina $34,037 145%
Oscar Health $87,612 373%
WellCare $24,664 105%
+ 14 smaller / regional plans $24,664 - $246,864

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals