CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Maimonides Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,997
about 1.4× the $23,504 Medicare rate · typically $24,493–$58,540
modeled estimate · not a bill or quote
What this hospital charges insurers
$51,027
Above the fair price
about $17,030 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $33,997 This hospital $51,027

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 $51,027

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 $33,997 (about 1.4× the $23,504 Medicare rate). Maimonides Medical Center charges insurers about $51,027 — above the fair price. Located in Brooklyn, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $33,997. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $42,523 - $103,182 181%
Blue Cross Blue Shieldmajor $42,523 - $101,351 181%
Aetnamajor $42,523 - $77,730 181%
Cignamajor $42,523 - $93,042 181%
Fidelis Care $42,523 181%
MagnaCare $111,287 473%
Molina $40,397 172%
WellCare $42,523 181%
+ 19 smaller / regional plans $39,546 - $99,302

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.

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Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals