CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence St Vincent Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$38,279
about 1.6× the $23,504 Medicare rate · typically $28,973–$56,405
modeled estimate · not a bill or quote
What this hospital charges insurers
$53,103
Above the fair price
about $14,824 over the fair price · 2.3× Medicare
Medicare pays $23,504 Fair price $38,279 This hospital $53,103

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $27,417 Priciest $53,103

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $38,279 (about 1.6× the $23,504 Medicare rate). Providence St Vincent Medical Center charges insurers about $53,103 — above the fair price. Located in Portland, OR.

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 $38,279. 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✓ Humana AetnaCignaKaiser 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 $31,049 - $94,194 132%
Blue Cross Blue Shieldmajor $29,018 - $77,407 123%
Humanamajor $29,018 123%
Health Net $29,018 123%
Moda Health $29,018 - $135,775 123%
Molina $31,339 - $53,103 133%
Providence Health Plan $29,018 - $100,520 123%
+ 2 smaller / regional plans $29,018 - $31,630

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: 9205 Sw Barnes Road, Portland, OR 97225
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals