CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Medical College of Virginia Hospitals

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,243
about 1.4× the $23,504 Medicare rate · typically $26,166–$67,913
modeled estimate · not a bill or quote
What this hospital charges insurers
$69,753
Well above the fair price
about $36,510 over the fair price · 3.0× Medicare
Medicare pays $23,504 Fair price $33,243 This hospital $69,753

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 $69,753

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 $33,243 (about 1.4× the $23,504 Medicare rate). Medical College of Virginia Hospitals charges insurers about $69,753 — well above the fair price. Located in Richmond, 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 $33,243. 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 $29,534 - $123,724 126%
Blue Cross Blue Shieldmajor $28,398 - $103,582 121%
Aetnamajor $28,398 - $78,103 121%
Cignamajor $28,682 - $71,557 122%
Humanamajor $29,818 127%
Oscar Health $67,443 287%
Sentara $28,739 122%

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: 1250 East Marshall Street, Richmond, VA 23298
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals