CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UPMC Somerset

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,085
about 1.2× the $23,504 Medicare rate · typically $16,788–$31,343
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,220
Below the fair price — a good deal
about $3,865 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $28,085 This hospital $24,220

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 $24,220

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 $28,085 (about 1.2× the $23,504 Medicare rate). UPMC Somerset charges insurers about $24,220 — below the fair price — a good deal. Located in Somerset, PA.

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✓ Aetna CignaHumanaKaiser 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 $7,906 - $24,220 34%
Blue Cross Blue Shieldmajor $23,978 - $29,494 102%
Aetnamajor $24,220 103%
AmeriHealth $24,220 103%
Geisinger $31,052 132%
UPMC Health Plan $9,712 - $34,291 41%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 225 South Center Avenue, Somerset, PA 15501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals