Spinal fusion, single level (inpatient stay)
Facility: UPMC St Margaret
Billing Code: 451 (MS-DRG)
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 $27,974 (about 1.2× the $23,504 Medicare rate). UPMC St Margaret charges insurers about $33,275 — above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $27,974. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $26,325 - $94,096 | 112% |
| Aetnamajor | $27,641 - $28,958 | 118% |
| UPMC Health Plan | $27,668 - $33,275 | 118% |
| + 1 smaller / regional plan | $28,431 |
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 UPMC St Margaret
Compare: Spinal fusion, single level (inpatient stay) at other PA hospitals
- Independence Health System Butler Memorial Hospita · Butler $11,459
- Geisinger-Bloomsburg Hospital · Bloomsburg $20,421
- Uniontown Hospital · Uniontown $21,447
- Meadville Medical Center · Meadville $22,466
- 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
Insurance negotiated median for the same procedure, sorted lowest first.