CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Berkeley Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,266
about 1.1× the $23,504 Medicare rate · typically $18,042–$29,060
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,492
About the fair price
about $1,774 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $26,266 This hospital $24,492

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WV hospitals compared.

Cheapest $20,264 Priciest $25,794

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,266 (about 1.1× the $23,504 Medicare rate). Berkeley Medical Center charges insurers about $24,492 — about the fair price. Located in Martinsburg, WV.

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✓ Aetna✓ Humana CignaKaiser 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 $25,426 108%
Blue Cross Blue Shieldmajor $20,684 88%
Aetnamajor $21,078 - $24,492 90%
Humanamajor $24,492 104%
CareSource $34,989 149%
+ 1 smaller / regional plan $20,980
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2500 Hospital Drive, Martinsburg, WV 25401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals