CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Queens Hospital Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$41,034
about 1.7× the $23,504 Medicare rate · typically $26,997–$71,558
modeled estimate · not a bill or quote
What this hospital charges insurers
$56,501
Above the fair price
about $15,467 over the fair price · 2.4× Medicare
Medicare pays $23,504 Fair price $41,034 This hospital $56,501

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 $56,501

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 $41,034 (about 1.7× the $23,504 Medicare rate). Queens Hospital Center charges insurers about $56,501 — above the fair price. Located in Jamaica, 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 $41,034. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $74,107 315%
Blue Cross Blue Shieldmajor $56,080 239%
Aetnamajor $56,080 - $63,565 239%
Fidelis Care $66,174 - $79,633 282%
WellCare $56,921 242%
+ 10 smaller / regional plans $50,283 - $63,370
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals