CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Jefferson Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,350
about 1.1× the $23,504 Medicare rate · typically $21,301–$35,335
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,737
About the fair price
about $2,613 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $26,350 This hospital $23,737

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 $23,737

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 $26,350 (about 1.1× the $23,504 Medicare rate). Jefferson Hospital charges insurers about $23,737 — about the fair price. Located in Jefferson Hills, 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 $21,913 - $23,666 93%
Blue Cross Blue Shieldmajor $14,323 - $47,617 61%
Aetnamajor $22,789 - $50,874 97%
Cignamajor $23,447 - $41,310 100%
Humanamajor $23,228 99%
AmeriHealth $23,009 98%
Medical Mutual $41,310 176%
Molina $23,885 102%
+ 5 smaller / regional plans $21,913 - $31,029
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 565 Coal Valley Road, Jefferson Hills, PA 15025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals