CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Bon Secours Maryview Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$35,041
about 1.5× the $23,504 Medicare rate · typically $26,621–$64,720
modeled estimate · not a bill or quote
What this hospital charges insurers
$62,746
Well above the fair price
about $27,705 over the fair price · 2.7× Medicare
Medicare pays $23,504 Fair price $35,041 This hospital $62,746

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $23,769 Priciest $62,746

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $35,041 (about 1.5× the $23,504 Medicare rate). Bon Secours Maryview Medical Center charges insurers about $62,746 — well above the fair price. Located in Portsmouth, VA.

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 $35,041. 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.

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 $24,392 - $47,054 104%
Blue Cross Blue Shieldmajor $24,392 - $115,276 104%
Aetnamajor $24,392 104%
Cignamajor $24,392 - $62,212 104%
Humanamajor $24,879 106%
Sentara $63,280 269%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 3636 High Street, Portsmouth, VA 23707
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals