CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$43,703
about 1.9× the $23,504 Medicare rate · typically $23,619–$59,982
modeled estimate · not a bill or quote
What this hospital charges insurers
$63,326
Above the fair price
about $19,623 over the fair price · 2.7× Medicare
Medicare pays $23,504 Fair price $43,703 This hospital $63,326

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 $63,326

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 $43,703 (about 1.9× the $23,504 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $63,326 — above the fair price. Located in Milwaukee, 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 $43,703. 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 $31,454 - $107,152 134%
Blue Cross Blue Shieldmajor $31,454 - $120,187 134%
Aetnamajor $32,083 137%
Cignamajor $83,222 354%
Humanamajor $31,454 134%
Health Net $77,701 331%
HealthPartners $31,454 - $66,010 134%
Molina $31,454 134%
Priority Health $31,454 134%
Quartz $31,454 134%
Security Health Plan $31,454 134%
WellCare $32,083 137%
+ 10 smaller / regional plans $31,454 - $88,962

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals