CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Rothman Orthopaedic Specialty Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$29,952
about 1.3× the $23,504 Medicare rate · typically $14,984–$56,587
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,319
Above the fair price
about $9,367 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $29,952 This hospital $39,319 Cash price $31,977 Hospital's list price $74,779

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 $39,319

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 $29,952 (about 1.3× the $23,504 Medicare rate). Rothman Orthopaedic Specialty Hospital charges insurers about $39,319, or about $31,977 in cash — above the fair price. Located in Bensalem, 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 $29,952. 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 $22,650 - $49,141 96%
Blue Cross Blue Shieldmajor $23,317 - $54,419 99%
Aetnamajor $23,539 - $39,319 100%
Cignamajor $47,213 201%
Humanamajor $22,650 96%
Ambetter (Centene) $32,948 140%
Clover Health $21,966 93%
Devoted Health $22,206 94%
Geisinger $25,537 - $93,013 109%
HealthPartners $32,948 140%
+ 11 smaller / regional plans $21,966 - $57,311
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (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: 3300 Tillman Drive, Bensalem, PA 19020
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals