CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Community Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$46,483
about 2.0× the $23,504 Medicare rate · typically $24,728–$63,096
modeled estimate · not a bill or quote
What this hospital charges insurers
$59,149
Above the fair price
about $12,666 over the fair price · 2.5× Medicare
Medicare pays $23,504 Fair price $46,483 This hospital $59,149

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 $59,149

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 $46,483 (about 2.0× the $23,504 Medicare rate). Community Memorial Hospital charges insurers about $59,149 — above the fair price. Located in Menomonee Falls, 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 $46,483. 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 $25,566 - $95,181 109%
Blue Cross Blue Shieldmajor $25,566 - $101,044 109%
Aetnamajor $26,077 111%
Cignamajor $88,109 375%
Humanamajor $25,566 109%
Health Net $59,811 254%
HealthPartners $25,566 - $65,816 109%
Security Health Plan $25,566 109%
+ 9 smaller / regional plans $25,566 - $74,768

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: W180 N8085 Town Hall Rd, Menomonee Falls, WI 53051
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals