Spinal fusion, single level (inpatient stay)
Facility: Lehigh Valley Hospital - Macungie
Billing Code: 451 (MS-DRG)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $29,676 (about 1.3× the $23,504 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $35,400 — above the fair price. Located in Macungie, 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 $29,676. 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.
4 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $20,860 - $78,507 | 89% |
| Aetnamajor | $21,903 - $58,566 | 93% |
| Cignamajor | $21,486 - $54,005 | 91% |
| Humanamajor | $21,069 | 90% |
| Ambetter (Centene) | $48,085 | 205% |
| AmeriHealth | $21,486 | 91% |
| Geisinger | $21,486 - $52,292 | 91% |
| HealthPartners | $21,903 - $39,634 | 93% |
| UPMC Health Plan | $22,112 - $63,911 | 94% |
| + 3 smaller / regional plans | $21,486 - $50,851 |
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.
Other Procedures at Lehigh Valley Hospital - Macungie
Compare: Spinal fusion, single level (inpatient stay) at other PA hospitals
- Independence Health System Butler Memorial Hospita · Butler $11,459
- Geisinger-Bloomsburg Hospital · Bloomsburg $20,421
- Uniontown Hospital · Uniontown $21,447
- Meadville Medical Center · Meadville $22,466
- Advanced Surgical Hospital · Washington $22,477
- Allegheny Valley Hospital · Natrona $22,528
- Canonsburg General Hospital · Canonsburg $22,545
- Penn State Health Lancaster Medical Center · Lancaster $22,668
Insurance negotiated median for the same procedure, sorted lowest first.