CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UPMC Horizon

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,904
about 1.1× the $23,504 Medicare rate · typically $18,828–$33,624
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,821
About the fair price
about $1,083 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $26,904 This hospital $25,821

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 $25,821

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 $26,904 (about 1.1× the $23,504 Medicare rate). UPMC Horizon charges insurers about $25,821 — about the fair price. Located in Greenville, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $25,584 109%
Blue Cross Blue Shieldmajor $14,960 - $35,293 64%
Aetnamajor $24,627 - $25,106 105%
Cignamajor $25,823 110%
AmeriHealth $25,823 110%
UPMC Health Plan $9,470 - $28,214 40%
+ 1 smaller / regional plan $25,823

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Facility Profile & Credentials

  • Address: 110 North Main Street, Greenville, PA 16125
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals