CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,743
about 1.4× the $23,504 Medicare rate · typically $18,176–$58,974
modeled estimate · not a bill or quote
What this hospital charges insurers
$56,637
Above the fair price
about $23,894 over the fair price · 2.4× Medicare
Medicare pays $23,504 Fair price $32,743 This hospital $56,637 Hospital's list price $99,339

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 $56,637

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 $32,743 (about 1.4× the $23,504 Medicare rate). University of Wi Hospitals & Clinics Authority charges insurers about $56,637 — above the fair price. Located in Madison, WI.

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 $32,743. 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.

5 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 $20,703 88%
Blue Cross Blue Shieldmajor $20,703 - $83,893 88%
Aetnamajor $20,703 88%
Cignamajor $83,667 356%
Humanamajor $20,703 88%
HealthPartners $75,113 320%
Security Health Plan $81,002 345%
+ 5 smaller / regional plans $50,924 - $74,858
Government programs also on file: Medicare.

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: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals