CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Legacy Emanuel Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$35,188

about 1.5× the $23,504 Medicare rate · typically $28,223–$54,118

modeled estimate · not a bill or quote

What this hospital charges insurers

$35,872

About the fair price

about $684 over the fair price · 1.5× Medicare

Medicare pays $23,504 Fair price $35,188 This hospital $35,872

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 $35,872

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 $35,188 (about 1.5× the $23,504 Medicare rate). Legacy Emanuel Medical Center charges insurers about $35,872 — about the fair price. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$33,287 - $72,422	142%
Blue Cross Blue Shieldmajor	$33,933 - $64,987	144%
Aetnamajor	$33,933 - $88,836	144%
Cignamajor	$35,549	151%
Humanamajor	$33,933	144%
Kaiser Permanentemajor	$32,317 - $64,635	137%
Devoted Health	$33,933	144%
Health Net	$34,256	146%
Moda Health	$36,195 - $76,451	154%
PacificSource	$34,903 - $61,668	148%
Providence Health Plan	$64,635	275%
+ 7 smaller / regional plans	$33,287 - $55,544

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, 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 Legacy Emanuel 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 Legacy Emanuel Medical Center

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

Mercy Medical Center · Roseburg $27,417
St Charles Medical Center - Bend · Bend $27,665
St Charles Medical Center Prineville · Prineville $27,665
Providence Newberg Medical Center · Newberg $28,573
Legacy Meridian Park Medical Center · Tualatin $29,927
Legacy Mount Hood Medical Center · Gresham $32,258
Providence Medford Medical Center · Medford $33,148
Legacy Good Samaritan Medical Center · Portland $34,872

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