CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Raleigh General Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$25,793

about 1.1× the $23,504 Medicare rate · typically $21,782–$29,871

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,738

Below the fair price — a good deal

about $4,055 under the fair price · 0.9× Medicare

Medicare pays $23,504 Fair price $25,793 This hospital $21,738 Cash price $38,268 Hospital's list price $95,670

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

One of the lower prices — 6 of 8 other WV hospitals charge more for the same procedure.

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 $25,793 (about 1.1× the $23,504 Medicare rate). Raleigh General Hospital charges insurers about $21,738, or about $38,268 in cash — below the fair price — a good deal. Located in Beckley, 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	$21,738	92%
Blue Cross Blue Shieldmajor	$21,738 - $84,967	92%
Aetnamajor	$21,738	92%
Humanamajor	$21,738	92%
CareSource	$45,650	194%
+ 5 smaller / regional plans	$17,113 - $66,078

Government programs also on file: Medicare, Military & VA.

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 (about 38,268), 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 Raleigh General 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 Raleigh General Hospital

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

Charleston Area Medical Center · Charleston $20,264
St Marys Medical Center · Huntington $20,539
Reynolds Memorial Hospital, Inc · Glen Dale $23,275
Weirton Medical Center, Inc · Weirton $24,418
Berkeley Medical Center · Martinsburg $24,492
Camden Clark Medical Center · Parkersburg $24,497
Wheeling Hospital, Inc · Wheeling $25,053
Princeton Community Hospital Assn Inc · Princeton $25,794

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