CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Suny/Stony Brook University Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$36,553
about 1.6× the $23,504 Medicare rate · typically $26,697–$58,855
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,358
Above the fair price
about $5,805 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $36,553 This hospital $42,358

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 $42,358

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 $36,553 (about 1.6× the $23,504 Medicare rate). Suny/Stony Brook University Hospital charges insurers about $42,358 — above the fair price. Located in Stony Brook, 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 $36,553. 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 $41,938 178%
Blue Cross Blue Shieldmajor $41,938 178%
Aetnamajor $33,011 - $42,777 140%
Cignamajor $4,471 19%
EmblemHealth $42,777 182%
Fidelis Care $41,938 178%
+ 5 smaller / regional plans $6,045 - $54,520
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: Health Sciences Center SUNY, Stony Brook, NY 11794
  • CMS Rating: ★★★★★
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals