CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Phoenixville Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,007
about 1.2× the $23,504 Medicare rate · typically $24,339–$39,496
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,049
Below the fair price — a good deal
about $3,958 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,007 This hospital $25,049

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 $25,049

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 $29,007 (about 1.2× the $23,504 Medicare rate). Phoenixville Hospital charges insurers about $25,049 — below the fair price — a good deal. Located in Phoenixville, 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 $20,473 - $38,765 87%
Blue Cross Blue Shieldmajor $24,086 - $59,762 102%
Aetnamajor $26,012 - $43,610 111%
Cignamajor $25,049 - $46,108 107%
Humanamajor $23,626 - $25,290 101%
Devoted Health $25,049 107%
Geisinger $24,784 - $38,765 105%
HealthPartners $25,290 108%
UPMC Health Plan $25,290 108%
+ 7 smaller / regional plans $12,487 - $25,964

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 140 Nutt Road, Phoenixville, PA 19460
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals