CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Froedtert Community Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$44,486

about 1.9× the $23,504 Medicare rate · typically $25,098–$60,665

modeled estimate · not a bill or quote

What this hospital charges insurers

$44,903

About the fair price

about $417 over the fair price · 1.9× Medicare

Medicare pays $23,504 Fair price $44,486 This hospital $44,903

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 $44,903

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 $44,486 (about 1.9× the $23,504 Medicare rate). Froedtert Community Hospital charges insurers about $44,903 — about the fair price. Located in New Berlin, 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	$22,893 - $68,068	97%
Blue Cross Blue Shieldmajor	$22,893 - $73,343	97%
Cignamajor	$47,639	203%
Humanamajor	$22,893	97%
Health Net	$52,526	223%
HealthPartners	$22,893 - $65,816	97%
Molina	$22,893	97%
Security Health Plan	$22,893	97%
+ 8 smaller / regional plans	$22,893 - $52,526

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Froedtert Community Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Froedtert Community Hospital

Compare: Spinal fusion, single level (inpatient stay) at other WI hospitals

Ascension Sacred Heart Rehabilitation Hospital · Mequon $15,202
Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $15,215
Orthopaedic Hospital of Wisconsin · Glendale $22,143
Thedacare Regional Med Ctr - Neenah · Neenah $22,570
Sauk Prairie Hospital · Prairie Du Sac $22,833
Oakleaf Surgical Hospital · Altoona $22,877
The Monroe Clinic · Monroe $22,975
Mile Bluff Medical Center · Mauston $23,232

Insurance negotiated median for the same procedure, sorted lowest first.