CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Legacy Good Samaritan Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$35,311
about 1.5× the $23,504 Medicare rate · typically $28,226–$54,502
modeled estimate · not a bill or quote
What this hospital charges insurers
$34,872
About the fair price
about $439 under the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $35,311 This hospital $34,872

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 7 of 8 other OR hospitals charge less.

Cheapest $27,417 Priciest $35,539

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 $35,311 (about 1.5× the $23,504 Medicare rate). Legacy Good Samaritan Medical Center charges insurers about $34,872 — 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 $32,359 - $72,422 138%
Blue Cross Blue Shieldmajor $32,987 - $64,987 140%
Aetnamajor $32,987 - $88,836 140%
Cignamajor $34,558 147%
Humanamajor $32,987 140%
Kaiser Permanentemajor $31,416 - $62,833 134%
Devoted Health $32,987 140%
Health Net $33,301 142%
Moda Health $35,186 - $76,451 150%
PacificSource $33,930 - $61,668 144%
Providence Health Plan $62,833 267%
+ 7 smaller / regional plans $32,359 - $55,544

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Facility Profile & Credentials

  • Address: 1015 Nw 22Nd Avenue, W121, Portland, OR 97210
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals