CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St James Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,124
about 1.3× the $23,504 Medicare rate · typically $19,152–$39,109
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,006
About the fair price
about $118 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $30,124 This hospital $30,006

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $24,445 Priciest $30,006

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 $30,124 (about 1.3× the $23,504 Medicare rate). St James Hospital charges insurers about $30,006 — about the fair price. Located in Hornell, NY.

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✓ Humana CignaKaiser 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 $29,755 - $30,006 127%
Blue Cross Blue Shieldmajor $30,006 128%
Aetnamajor $16,908 - $30,006 72%
Humanamajor $30,006 128%
Government programs also on file: Medicare.

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: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals