CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Fort Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,083
about 1.2× the $23,504 Medicare rate · typically $18,717–$42,535
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,138
Below the fair price — a good deal
about $2,945 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $29,083 This hospital $26,138

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $15,202 Priciest $26,138

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 $29,083 (about 1.2× the $23,504 Medicare rate). Fort Memorial Hospital charges insurers about $26,138 — below the fair price — a good deal. Located in Fort Atkinson, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $26,138 111%
Blue Cross Blue Shieldmajor $26,138 - $27,786 111%
Humanamajor $26,138 111%
Dean Health Plan $26,138 111%
Molina $26,138 111%
Quartz $26,138 111%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals