CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Clare Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$40,124
about 1.7× the $23,504 Medicare rate · typically $33,398–$54,631
modeled estimate · not a bill or quote
What this hospital charges insurers
$48,954
Above the fair price
about $8,830 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $40,124 This hospital $48,954

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $18,516 Priciest $48,954

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $40,124 (about 1.7× the $23,504 Medicare rate). St Clare Hospital charges insurers about $48,954 — above the fair price. Located in Lakewood, WA.

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 $40,124. 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.

6 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 $27,116 - $73,120 115%
Blue Cross Blue Shieldmajor $27,652 - $71,185 118%
Aetnamajor $27,652 - $80,683 118%
Cignamajor $59,436 253%
Humanamajor $28,726 122%
Kaiser Permanentemajor $26,847 - $65,519 114%
Amerigroup $28,726 122%
Molina $28,995 - $51,412 123%
+ 4 smaller / regional plans $26,847 - $55,842

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: 11315 Bridgeport Way S W, Lakewood, WA 98499
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals