CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Unitypoint Health - Meriter

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$34,693
about 1.5× the $23,504 Medicare rate · typically $18,364–$56,606
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,299
About the fair price
about $1,394 under the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $34,693 This hospital $33,299

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 $33,299

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 $34,693 (about 1.5× the $23,504 Medicare rate). Unitypoint Health - Meriter charges insurers about $33,299 — about the fair price. Located in Madison, 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✓ Cigna✓ Humana AetnaKaiser 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 $23,922 - $49,021 102%
Blue Cross Blue Shieldmajor $23,922 - $76,653 102%
Cignamajor $62,029 264%
Humanamajor $23,922 102%
HealthPartners $68,997 294%
Meridian $23,922 102%
Quartz $34,967 149%
+ 4 smaller / regional plans $23,922 - $31,632

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Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals