CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,710
about 1.3× the $23,504 Medicare rate · typically $18,635–$37,109
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,673
Below the fair price — a good deal
about $8,037 under the fair price · 0.9× Medicare
Medicare pays $23,504 Fair price $29,710 This hospital $21,673 Cash price $30,914 Hospital's list price $132,680

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 7 of 8 other TN hospitals charge less.

Cheapest $15,440 Priciest $22,851

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $29,710 (about 1.3× the $23,504 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $21,673, or about $30,914 in cash — below the fair price — a good deal. Located in Gallatin, TN.

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✓ Cigna✓ Humana AetnaKaiser 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 $20,055 - $50,913 85%
Blue Cross Blue Shieldmajor $20,840 - $38,168 89%
Cignamajor $31,897 - $35,153 136%
Humanamajor $20,840 89%
Ambetter (Centene) $42,274 180%
Amerigroup $20,840 89%
Cigna HealthSpring $21,882 93%
Devoted Health $21,465 91%
+ 3 smaller / regional plans $20,840 - $22,090
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 555 Hartsville Pike, Gallatin, TN 37066
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals