CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: The Monroe Clinic

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,988
about 1.4× the $23,504 Medicare rate · typically $18,040–$55,675
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,975
Below the fair price — a good deal
about $10,013 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $32,988 This hospital $22,975

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $15,202 Priciest $25,246

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,988 (about 1.4× the $23,504 Medicare rate). The Monroe Clinic charges insurers about $22,975 — below the fair price — a good deal. Located in Monroe, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $22,975 - $51,838 98%
Blue Cross Blue Shieldmajor $22,975 - $46,838 98%
Aetnamajor $22,975 98%
Humanamajor $22,975 98%
Molina $22,975 98%
Quartz $46,695 199%
+ 4 smaller / regional plans $22,975 - $64,259

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Facility Profile & Credentials

  • Address: 515 22Nd Ave, Monroe, WI 53566
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals