CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,233
about 1.2× the $23,504 Medicare rate · typically $22,196–$40,249
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,729
Below the fair price — a good deal
about $3,504 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,233 This hospital $25,729 Cash price $43,183

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 $25,729

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 $29,233 (about 1.2× the $23,504 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $25,729, or about $43,183 in cash — below the fair price — a good deal. Located in East Norriton, 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 $24,758 - $46,505 105%
Blue Cross Blue Shieldmajor $25,486 108%
Aetnamajor $25,729 - $82,504 109%
Cignamajor $25,243 - $71,870 107%
Humanamajor $24,272 103%
Geisinger $27,913 119%
UPMC Health Plan $25,486 108%
WellCare $26,700 114%
+ 1 smaller / regional plan $25,729

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: 559 West Germantown Pike, East Norriton, PA 19403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals