CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Lewisgale Hospital Alleghany

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$30,747

about 1.3× the $23,504 Medicare rate · typically $24,505–$44,780

modeled estimate · not a bill or quote

What this hospital charges insurers

$24,013

Below the fair price — a good deal

about $6,734 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $30,747 This hospital $24,013

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

One of the lower prices — 7 of 8 other VA hospitals charge more for the same procedure.

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 $30,747 (about 1.3× the $23,504 Medicare rate). Lewisgale Hospital Alleghany charges insurers about $24,013 — below the fair price — a good deal. Located in Low Moor, 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	$5,011 - $43,117	21%
Blue Cross Blue Shieldmajor	$3,890 - $54,613	17%
Aetnamajor	$23,547 - $63,311	100%
Cignamajor	$23,780	101%
Humanamajor	$23,314	99%
Devoted Health	$23,780	101%
Sentara	$23,314 - $53,783	99%
+ 7 smaller / regional plans	$23,314 - $126,000

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 Lewisgale Hospital Alleghany 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 Lewisgale Hospital Alleghany

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

Sovah Health Danville · Danville $23,769
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
John Randolph Medical Center · Hopewell $26,406

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