CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$38,321
about 1.6× the $23,504 Medicare rate · typically $18,476–$57,079
modeled estimate · not a bill or quote
What this hospital charges insurers
$48,851
Above the fair price
about $10,530 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $38,321 This hospital $48,851

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 $48,851

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 $38,321 (about 1.6× the $23,504 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $48,851 — above the fair price. Located in Hillsboro, 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 $38,321. 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.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Quartz $28,607 122%
Security Health Plan $48,851 208%
+ 1 smaller / regional plan $56,526

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: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals