CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Penn State Health St. Joseph

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,179
about 1.2× the $23,504 Medicare rate · typically $13,932–$29,045
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,040
About the fair price
about $2,139 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $28,179 This hospital $26,040

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 $26,040

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 $28,179 (about 1.2× the $23,504 Medicare rate). Penn State Health St. Joseph charges insurers about $26,040 — about the fair price. Located in 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

✓ 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 $26,040 - $67,658 111%
Blue Cross Blue Shieldmajor $25,780 - $66,248 110%
Aetnamajor $26,040 - $59,126 111%
Cignamajor $63,090 268%
Humanamajor $26,301 112%
AmeriHealth $26,040 111%
Cigna HealthSpring $26,301 112%
Geisinger $26,040 111%
HealthPartners $26,561 113%
UPMC Health Plan $27,345 116%
+ 3 smaller / regional plans $6,099 - $32,550

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Facility Profile & Credentials

  • Address: 2500 Bernville Road, Reading, PA 19605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals