CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Sentara Virginia Beach General Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$35,884
about 1.5× the $23,504 Medicare rate · typically $28,315–$66,218
modeled estimate · not a bill or quote
What this hospital charges insurers
$61,077
Above the fair price
about $25,193 over the fair price · 2.6× Medicare
Medicare pays $23,504 Fair price $35,884 This hospital $61,077

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 $61,077

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 $35,884 (about 1.5× the $23,504 Medicare rate). Sentara Virginia Beach General Hospital charges insurers about $61,077 — above the fair price. Located in Virginia Beach, 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 $35,884. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $24,738 - $95,038 105%
Blue Cross Blue Shieldmajor $24,679 - $69,964 105%
Cignamajor $60,483 257%
Humanamajor $24,267 103%
Sentara $24,032 - $76,053 102%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1060 First Colonial Road, Virginia Beach, VA 23454
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals