CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UPMC Kane

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$30,755
about 1.3× the $23,504 Medicare rate · typically $13,342–$42,738
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,369
About the fair price
about $2,614 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $30,755 This hospital $33,369

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 $33,369

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 $30,755 (about 1.3× the $23,504 Medicare rate). UPMC Kane charges insurers about $33,369 — about the fair price. Located in Kane, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $27,433 117%
Blue Cross Blue Shieldmajor $3,082 - $36,741 13%
UPMC Health Plan $38,177 162%

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Facility Profile & Credentials

  • Address: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals