CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Anthony Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$40,125
about 1.7× the $23,504 Medicare rate · typically $32,413–$53,757
modeled estimate · not a bill or quote
What this hospital charges insurers
$47,418
Above the fair price
about $7,293 over the fair price · 2.0× Medicare
Medicare pays $23,504 Fair price $40,125 This hospital $47,418

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 $47,418

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 $40,125 (about 1.7× the $23,504 Medicare rate). St Anthony Hospital charges insurers about $47,418 — above the fair price. Located in Gig Harbor, 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 $40,125. 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 $25,483 - $73,120 108%
Blue Cross Blue Shieldmajor $25,988 - $71,185 111%
Aetnamajor $25,988 - $80,683 111%
Cignamajor $59,436 253%
Humanamajor $26,997 115%
Kaiser Permanentemajor $25,231 - $65,519 107%
Amerigroup $26,997 115%
Molina $27,249 - $48,317 116%
+ 4 smaller / regional plans $25,231 - $52,480

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: 11567 Canterwood Boulevard Nw, Gig Harbor, WA 98332
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals