CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,523
about 1.3× the $23,504 Medicare rate · typically $24,275–$39,961
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,951
Above the fair price
about $10,428 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $29,523 This hospital $39,951 Cash price $166,024 Hospital's list price $267,781

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 $39,951

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Spinal fusion, single level (inpatient stay) is about $29,523 (about 1.3× the $23,504 Medicare rate). Geisinger Wyoming Valley Medical Center charges insurers about $39,951, or about $166,024 in cash — above the fair price. Located in Wilkes Barre, 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 $29,523. 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 $89,405 380%
Blue Cross Blue Shieldmajor $19,102 - $78,706 81%
Aetnamajor $74,582 - $178,878 317%
Cignamajor $121,305 516%
Humanamajor $18,913 80%
Ambetter (Centene) $44,446 189%
Geisinger $18,913 - $55,939 80%
+ 3 smaller / regional plans $133,890 - $227,614
Government programs also on file: Medicare.
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.

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Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals