Spinal fusion, single level (inpatient stay)
Facility: St John's Episcopal Hospital at South Shore
Billing Code: 451 (MS-DRG)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
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 $35,396 (about 1.5× the $23,504 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $43,777 — above the fair price. Located in Far Rockaway, 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 $35,396. 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.
5 of 6 major insurers have a published price at this hospital
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 | $33,252 - $43,777 | 141% |
| Blue Cross Blue Shieldmajor | $41,504 - $54,994 | 177% |
| Aetnamajor | $39,760 - $43,777 | 169% |
| Cignamajor | $42,087 | 179% |
| Humanamajor | $43,777 | 186% |
| Fidelis Care | $43,777 | 186% |
| MagnaCare | $55,446 | 236% |
| Molina | $48,155 | 205% |
| WellCare | $43,777 | 186% |
| + 10 smaller / regional plans | $41,763 - $73,613 |
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.
Other Procedures at St John's Episcopal Hospital at South Shore
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.