CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$32,357
about 1.4× the $23,504 Medicare rate · typically $19,863–$45,017
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,206
About the fair price
about $2,849 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $32,357 This hospital $35,206

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 $35,206

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 $32,357 (about 1.4× the $23,504 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $35,206 — about the fair price. Located in Pittsburgh, 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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $48,597 - $77,395 207%
Aetnamajor $18,319 - $20,151 78%
UPMC Health Plan $35,118 - $35,295 149%
+ 2 smaller / regional plans $3,400 - $68,149

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Facility Profile & Credentials

  • Address: One Children's Hospital Drive, Pittsburgh, PA 15224
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens