CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Paoli Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,463
about 1.3× the $23,504 Medicare rate · typically $24,686–$39,843
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,025
Below the fair price — a good deal
about $3,438 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,463 This hospital $26,025

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 $26,025

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 $29,463 (about 1.3× the $23,504 Medicare rate). Paoli Hospital charges insurers about $26,025 — below the fair price — a good deal. Located in Paoli, 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 $23,659 - $26,404 101%
Blue Cross Blue Shieldmajor $23,659 - $60,094 101%
Aetnamajor $25,788 - $82,828 110%
Cignamajor $48,138 205%
Humanamajor $24,132 103%
Devoted Health $25,315 108%
Geisinger $26,498 113%
HealthPartners $25,433 108%
UPMC Health Plan $26,025 111%
+ 4 smaller / regional plans $23,659 - $26,025

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Facility Profile & Credentials

  • Address: 255 West Lancaster Avenue, Paoli, PA 19301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals