CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Swedish Issaquah

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$38,723

about 1.6× the $23,504 Medicare rate · typically $31,752–$54,039

modeled estimate · not a bill or quote

What this hospital charges insurers

$31,096

Below the fair price — a good deal

about $7,627 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $38,723 This hospital $31,096

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 6 of 8 other WA hospitals charge less.

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 $38,723 (about 1.6× the $23,504 Medicare rate). Swedish Issaquah charges insurers about $31,096 — below the fair price — a good deal. Located in Issaquah, 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	$29,682 - $97,030	126%
Blue Cross Blue Shieldmajor	$29,400 - $59,365	125%
Aetnamajor	$29,117 - $29,400	124%
Cignamajor	$33,923 - $87,566	144%
Humanamajor	$29,965	127%
Kaiser Permanentemajor	$28,269 - $42,404	120%
Amerigroup	$31,096	132%
Molina	$28,269 - $30,531	120%
Providence Health Plan	$29,400	125%
+ 3 smaller / regional plans	$31,096 - $52,298

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 Swedish Issaquah 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 Swedish Issaquah

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

Prosser Memorial Hospital · Prosser $18,516
Trios Health · Kennewick $24,790
Valley Medical Center · Renton $29,392
Providence St Mary Medical Center · Walla Walla $29,774
Providence Holy Family Hospital · Spokane $30,306
Providence Centralia Hospital · Centralia $31,095
Kadlec Regional Medical Center · Richland $31,804
Providence Regional Medical Center Everett · Everett $32,605

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