CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: John Randolph Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$33,639

about 1.4× the $23,504 Medicare rate · typically $27,045–$64,944

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,406

Below the fair price — a good deal

about $7,233 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $33,639 This hospital $26,406

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 $26,406

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 $33,639 (about 1.4× the $23,504 Medicare rate). John Randolph Medical Center charges insurers about $26,406 — below the fair price — a good deal. Located in Hopewell, VA.

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	$3,601 - $62,226	15%
Blue Cross Blue Shieldmajor	$3,043 - $66,741	13%
Aetnamajor	$3,285 - $100,755	14%
Cignamajor	$24,486 - $128,520	104%
Humanamajor	$24,006	102%
Devoted Health	$24,486	104%
Oscar Health	$37,337	159%
Sentara	$24,006 - $53,783	102%
+ 7 smaller / regional plans	$24,486 - $26,406

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 John Randolph Medical Center 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 John Randolph Medical Center

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

Sovah Health Danville · Danville $23,769
Lewisgale Hospital Alleghany · Low Moor $24,013
Virginia Hospital Center · Arlington $24,117
Chesapeake General Hospital · Chesapeake $24,175
Sentara Rmh Medical Center · Harrisonburg $24,212
Lewisgale Hospital Pulaski · Pulaski $24,643
Sentara Halifax Regional Hospital · South Boston $24,661
Spotsylvania Regional Medical Center · Fredericksburg $26,268

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