CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$25,545

about 1.1× the $23,504 Medicare rate · typically $18,013–$36,842

modeled estimate · not a bill or quote

What this hospital charges insurers

$36,352

Above the fair price

about $10,807 over the fair price · 1.5× Medicare

Medicare pays $23,504 Fair price $25,545 This hospital $36,352

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $21,632 Priciest $36,771

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $25,545 (about 1.1× the $23,504 Medicare rate). Holy Cross Hospital - Salt Lake charges insurers about $36,352 — above the fair price. Located in Salt Lake City, UT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $25,545. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Cigna✓ Humana Blue Cross Blue ShieldAetnaKaiser 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	$50,940	217%
Cignamajor	$45,607 - $75,762	194%
Humanamajor	$26,566	113%
Molina	$23,589	100%
+ 7 smaller / regional plans	$22,077 - $42,501

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Holy Cross Hospital - Salt Lake is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Holy Cross Hospital - Salt Lake

Compare: Spinal fusion, single level (inpatient stay) at other UT hospitals

Lone Peak Hospital · Draper $21,632
Lakeview Hospital · Bountiful $22,378
Brigham City Community Hospital · Brigham City $22,696
Timpanogos Regional Hospital · Orem $22,836
Mountain View Hospital · Payson $22,981
Cache Valley Hospital · North Logan $23,922
Holy Cross Hospital-Jordan Valley · West Jordan $35,933
Holy Cross Hospital-Davis · Layton $36,771

Insurance negotiated median for the same procedure, sorted lowest first.