CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Thomas Jefferson University Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,919
about 1.2× the $23,504 Medicare rate · typically $24,334–$39,495
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,193
Above the fair price
about $8,274 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $28,919 This hospital $37,193 Cash price $38,201

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 $37,193

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 $28,919 (about 1.2× the $23,504 Medicare rate). Thomas Jefferson University Hospital charges insurers about $37,193, or about $38,201 in cash — above the fair price. Located in Philadelphia, 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 $28,919. 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.

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 $33,812 - $36,516 144%
Blue Cross Blue Shieldmajor $37,193 - $79,875 158%
Aetnamajor $31,938 - $89,821 136%
Cignamajor $35,164 - $92,893 150%
Humanamajor $34,488 147%
Ambetter (Centene) $35,477 151%
Devoted Health $35,502 151%
Geisinger $96,734 412%
UPMC Health Plan $92,893 395%
+ 11 smaller / regional plans $32,440 - $42,264
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals