CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Westchester Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$38,707

about 1.6× the $23,504 Medicare rate · typically $26,768–$68,290

modeled estimate · not a bill or quote

Medicare pays $23,504 Fair price $38,707 Cash price $177,581 Hospital's list price $296,625

How we calculate the fair BaseRate →

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	$36,228 - $128,911	154%
Blue Cross Blue Shieldmajor	$36,228 - $170,746	154%
Aetnamajor	$36,228 - $148,976	154%
Cignamajor	$36,228 - $162,757	154%
CDPHP	$35,669 - $166,466	152%
MagnaCare	$36,228 - $206,591	154%
Molina	$38,040	162%
MVP Health Care	$36,228 - $140,199	154%
Oscar Health	$37,315	159%
WellCare	$36,228 - $67,022	154%
+ 7 smaller / regional plans	$12,065 - $165,309

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 177,581), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Westchester Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Westchester Medical Center

Compare: Spinal fusion, single level (inpatient stay) at other NY hospitals

Chsli St Joseph Hospital · Bethpage $24,445
Glens Falls Hospital · Glens Falls $24,938
Montefiore St Luke's Cornwall · Newburgh $26,391
Montefiore New Rochelle Hospital · New Rochelle $26,514
Montefiore Mount Vernon Hospital · Mount Vernon $27,008
St Francis Hospital - the Heart Center · Roslyn $27,323
Geneva General Hospital · Geneva $28,073
Mercy Medical Center · Rockville Centre $28,436

Insurance negotiated median for the same procedure, sorted lowest first.