CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: The Miriam Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,027
about 1.3× the $23,504 Medicare rate · typically $22,811–$38,312
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,756
About the fair price
about $729 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $31,027 This hospital $31,756

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

On the higher side — 2 of 3 other RI hospitals charge less.

Cheapest $22,536 Priciest $35,510

Black dot = this hospital, among the 4 RI hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $31,027 (about 1.3× the $23,504 Medicare rate). The Miriam Hospital charges insurers about $31,756 — about the fair price. Located in Providence, RI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $31,756 - $63,710 135%
Blue Cross Blue Shieldmajor $22,734 - $31,756 97%
Aetnamajor $32,470 - $76,186 138%
Cignamajor $31,756 135%
Harvard Pilgrim $31,756 135%
Tufts Health Plan $31,756 135%
WellCare $31,756 135%
+ 3 smaller / regional plans $31,756 - $37,345

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals