CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Tristar Northcrest Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,471
about 1.2× the $23,504 Medicare rate · typically $17,756–$34,818
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,733
About the fair price
about $2,738 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $27,471 This hospital $24,733

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $15,440 Priciest $24,733

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 $27,471 (about 1.2× the $23,504 Medicare rate). Tristar Northcrest Medical Center charges insurers about $24,733 — about the fair price. Located in Springfield, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $2,907 - $62,368 12%
Blue Cross Blue Shieldmajor $16,647 - $28,654 71%
Aetnamajor $24,020 - $66,035 102%
Cignamajor $52,166 - $59,280 222%
Humanamajor $23,782 - $40,600 101%
Ambetter (Centene) $25,533 - $26,554 109%
Amerigroup $23,782 101%
Bright Health $23,544 100%
Cigna HealthSpring $24,257 103%
Devoted Health $24,257 103%
Molina $22,593 96%
Oscar Health $37,143 158%
WellCare $22,593 - $23,782 96%
+ 6 smaller / regional plans $21,404 - $26,160

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Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals