CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Wellspan Ephrata Community Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,567
about 1.4× the $23,504 Medicare rate · typically $24,851–$57,972
modeled estimate · not a bill or quote
What this hospital charges insurers
$44,619
Above the fair price
about $11,052 over the fair price · 1.9× Medicare
Medicare pays $23,504 Fair price $33,567 This hospital $44,619

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 $44,619

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 $33,567 (about 1.4× the $23,504 Medicare rate). Wellspan Ephrata Community Hospital charges insurers about $44,619 — above the fair price. Located in Ephrata, 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 $33,567. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $67,735 288%
Blue Cross Blue Shieldmajor $20,389 - $53,758 87%
Aetnamajor $22,364 - $76,968 95%
Geisinger $77,046 328%
Government programs also on file: Medicare, Medicaid.

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.

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Facility Profile & Credentials

  • Address: 169 Martin Avenue, Ephrata, PA 17522
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals