CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: The University of Vermont Health Network - Champl

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,697
about 1.2× the $23,504 Medicare rate · typically $15,552–$37,215
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,920
Above the fair price
about $5,223 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $27,697 This hospital $32,920

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 $32,920

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 $27,697 (about 1.2× the $23,504 Medicare rate). The University of Vermont Health Network - Champl charges insurers about $32,920 — above the fair price. Located in Plattsburgh, 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 $27,697. 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✓ 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 $32,920 - $73,965 140%
Blue Cross Blue Shieldmajor $31,122 - $52,671 132%
Aetnamajor $32,920 - $51,366 140%
Humanamajor $32,920 140%
Fidelis Care $32,920 140%
MVP Health Care $32,920 140%
+ 2 smaller / regional plans $32,920
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.

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Facility Profile & Credentials

  • Address: 75 Beekman Street, Plattsburgh, NY 12901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals