CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UPMC Mercy

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,996
about 1.2× the $23,504 Medicare rate · typically $20,723–$35,773
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,140
About the fair price
about $4,144 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $27,996 This hospital $32,140

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $11,459 Priciest $32,140

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $27,996 (about 1.2× the $23,504 Medicare rate). UPMC Mercy charges insurers about $32,140 — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $29,759 - $57,305 127%
Aetnamajor $31,247 - $32,735 133%
AmeriHealth $32,140 137%
UPMC Health Plan $10,293 - $35,116 44%
+ 2 smaller / regional plans $29,759 - $32,140

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Facility Profile & Credentials

  • Address: 1400 Locust Street, Pittsburgh, PA 15219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals