CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Sentara Martha Jefferson Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,834
about 1.4× the $23,504 Medicare rate · typically $25,183–$48,110
modeled estimate · not a bill or quote
What this hospital charges insurers
$46,457
Above the fair price
about $14,623 over the fair price · 2.0× Medicare
Medicare pays $23,504 Fair price $31,834 This hospital $46,457

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 $46,457

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 $31,834 (about 1.4× the $23,504 Medicare rate). Sentara Martha Jefferson Hospital charges insurers about $46,457 — above the fair price. Located in Charlottesville, 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 $31,834. 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 $23,691 - $86,759 101%
Blue Cross Blue Shieldmajor $23,635 - $68,588 101%
Aetnamajor $23,691 - $46,457 101%
Cignamajor $47,015 200%
Humanamajor $23,240 99%
Sentara $23,014 98%

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: 500 Martha Jefferson Drive, Charlottesville, VA 22911
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals