CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Providence Holy Family Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,119
about 1.5× the $23,504 Medicare rate · typically $29,123–$50,951
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,306
Below the fair price — a good deal
about $3,813 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $34,119 This hospital $30,306

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WA hospitals compared.

Cheapest $18,516 Priciest $32,605

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 $34,119 (about 1.5× the $23,504 Medicare rate). Providence Holy Family Hospital charges insurers about $30,306 — below the fair price — a good deal. Located in Spokane, WA.

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 $29,479 - $72,501 125%
Blue Cross Blue Shieldmajor $28,653 - $49,591 122%
Aetnamajor $64,771 276%
Cignamajor $62,179 265%
Humanamajor $30,306 129%
Kaiser Permanentemajor $27,551 117%
Amerigroup $30,306 129%
Molina $27,551 - $29,755 117%
Providence Health Plan $28,653 122%
+ 3 smaller / regional plans $30,306 - $50,969

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Facility Profile & Credentials

  • Address: 5633 North Lidgerwood, Spokane, WA 99208
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals