Spinal fusion, single level (inpatient stay)
Facility: Reading Hospital
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $25,704 compared to the $28,123 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.91× fair market pricing.
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $28,123 (about 1.2× the $23,504 Medicare rate). Reading Hospital charges insurers about $25,704 — about the fair price. Located in West Reading, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $20,808 - $109,834 | 89% |
| Blue Cross Blue Shieldmajor | $24,230 - $117,464 | 103% |
| Aetnamajor | $10,558 - $90,274 | 45% |
| Cignamajor | $59,698 | 254% |
| Humanamajor | $20,808 - $25,704 | 89% |
| AmeriHealth | $25,214 | 107% |
| Devoted Health | $25,704 | 109% |
| Geisinger | $25,190 - $64,608 | 107% |
| HealthPartners | $25,704 | 109% |
| UPMC Health Plan | $10,235 - $25,949 | 44% |
| + 4 smaller / regional plans | $25,459 - $99,301 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Reading Hospital
Compare: Spinal fusion, single level (inpatient stay) at other PA hospitals
- Independence Health System Butler Memorial Hospita · Butler $11,459
- Geisinger-Bloomsburg Hospital · Bloomsburg $21,593
- Advanced Surgical Hospital · Washington $22,477
- Allegheny Valley Hospital · Natrona $22,528
- Canonsburg General Hospital · Canonsburg $22,545
- Penn State Health Lancaster Medical Center · Lancaster $22,668
- Meadville Medical Center · Meadville $23,056
- Ahn Wexford Hospital · Wexford $23,107
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Reading Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $22,393
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $22,393).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Reading Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $28,123 Fair BaseRate ($23,504 Medicare)
Your bill ($61,690) is $33,567 above the denoised Fair BaseRate ($28,123) and 2.6× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.