CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,694
about 1.3× the $23,504 Medicare rate · typically $22,665–$40,914
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,814
About the fair price
about $880 under the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $29,694 This hospital $28,814 Cash price $43,183

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 $28,814

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 $29,694 (about 1.3× the $23,504 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $28,814, or about $43,183 in cash — about the fair price. Located in Philadelphia, 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 $27,727 - $54,784 118%
Blue Cross Blue Shieldmajor $28,542 121%
Aetnamajor $28,814 - $82,504 123%
Cignamajor $28,270 - $71,870 120%
Humanamajor $27,183 116%
Geisinger $31,261 133%
UPMC Health Plan $28,542 121%
WellCare $29,901 127%
+ 1 smaller / regional plan $28,814

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals