CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Charles Medical Center Prineville

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$30,656
about 1.3× the $23,504 Medicare rate · typically $15,292–$49,053
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,665
About the fair price
about $2,991 under the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $30,656 This hospital $27,665 Cash price $118,609 Hospital's list price $148,261

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 6 of 8 other OR hospitals charge more for the same procedure.

Cheapest $27,417 Priciest $35,539

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Spinal fusion, single level (inpatient stay) is about $30,656 (about 1.3× the $23,504 Medicare rate). St Charles Medical Center Prineville charges insurers about $27,665, or about $118,609 in cash — about the fair price. Located in Prineville, 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 $5,349 23%
Blue Cross Blue Shieldmajor $5,884 25%
Aetnamajor $5,349 23%
Cignamajor $5,349 23%
Humanamajor $5,349 23%
Kaiser Permanentemajor $5,349 - $51,179 23%
Devoted Health $5,349 23%
Health Net $5,349 23%
Moda Health $55,329 235%
PacificSource $21,400 - $23,721 91%
Providence Health Plan $55,329 235%
UniCare $5,349 23%
WellCare $5,349 23%
+ 8 smaller / regional plans $5,349 - $27,664
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals