Summary

11 facilities within 25 miles of Richmond publish prices for Lumbar Spine Fusion. Cash prices range from $70,574 to $161,460 — a 2.3x difference for an identical procedure. The Virginia average is $82,743.

$70,574 lowest
$161,460 highest
Best Value

Bon Secours Memorial Regional Medical Center

Mechanicsville, VA · Bon Secours Mercy Health · 0.2 mi

$70,574 Cash price
4/5 CMS rating
65.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 65%. Cash price of $70,574 is below the statewide average of $82,743.

All facilities ranked by price

1
Bon Secours Memorial Regional Medical Center 4★ · 0.2 mi · Nonprofit
$70,574
2
Bon Secours St Marys Hospital 3★ · 0.0 mi · Nonprofit
$103,739
3
Bon Secours St Francis Medical Center 3★ · 0.2 mi · Nonprofit
$161,460
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Bon Secours Memorial Regional Medical Center Bon Secours Mercy Health Mechanicsville, VA · 0.2 mi $70,574 $117,623 1.67x 4/5 65.0% Nonprofit
2 Bon Secours St Marys Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi $103,739 $172,898 1.67x 3/5 66.0% Nonprofit
3 Bon Secours St Francis Medical Center Bon Secours Mercy Health Midlothian, VA · 0.2 mi $161,460 $269,101 1.67x 3/5 71.0% Nonprofit
4 Sentara Williamsburg Regional Medical Center Sentara Health Williamsburg, VA · 0.2 mi 4/5 79.0% Nonprofit
5 Riverside Walter Reed Hospital Riverside Health System Gloucester, VA · 0.2 mi 4/5 77.0% Nonprofit
6 Riverside Doctors' Hospital of Williamsburg Riverside Health System Williamsburg, VA · 0.2 mi 4/5 76.0% Nonprofit
7 CJW Medical Center Richmond, VA · 0.0 mi 4/5 64.0% For-profit
8 Stafford Hospital, LLC Stafford, VA · 0.2 mi 3/5 70.0% Nonprofit
9 Henrico Doctors' Hospital HCA Virginia Richmond, VA · 0.0 mi 3/5 69.0% Nonprofit
10 Spotsylvania Regional Medical Center HCA Virginia Fredericksburg, VA · 0.2 mi 3/5 61.0% For-profit
11 Mary Washington Hospital Mary Washington Healthcare Fredericksburg, VA · 0.2 mi 2/5 61.0% Nonprofit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Lumbar Spine Fusion. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Bon Secours Memorial Regional Medical Center

Cash: $70,574
Insurance Plan Negotiated Rate vs Cash
Aetna $17,591 -$52,983
Aetna $17,591 -$52,983
UnitedHealthcare $17,591 -$52,983
UnitedHealthcare $17,591 -$52,983

Bon Secours St Marys Hospital

Cash: $103,739
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $17,591 -$86,148
UnitedHealthcare $17,591 -$86,148

Bon Secours St Francis Medical Center

Cash: $161,460
Insurance Plan Negotiated Rate vs Cash
Humana $17,450 -$144,011

Sentara Williamsburg Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Sentara Health Plan Medicare Managed Care Plan $17,450
Humana Medicare Managed Care Plan $17,621
Anthem Anthem Medicare Managed Care Plan $17,920
UnitedHealthcare Dsnp Medicare Managed Care Plan $17,963
UnitedHealthcare All Commercial Plans $26,537
UnitedHealthcare Options Ppo $29,398
Anthem Anthem Exchange $57,773
Anthem Anthem Hmo $61,790
Anthem Anthem Ppo $64,365

Riverside Walter Reed Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Aetna Managed Medicaid $13,590
Molina Managed Medicaid $13,590
UnitedHealthcare Managed Medicaid $13,590
Sentara Health Plans Managed Medicaid $13,932
Humana Managed Medicaid $14,270
Humana Tricare $15,002
Johns Hopkins Health Plan Tricare $16,306
Molina Medicare Advantage $17,559
Veterans Administration Veterans Administration $17,559
UnitedHealthcare Medicare Advantage $17,910
Aetna Medicare Advantage $18,086
Anthem Medicare Advantage $18,086
Humana Medicare Advantage $18,086
Sentara Health Plans Medicare Advantage $18,437
Anthem HMO Products $61,119

1 additional plans not shown.

Riverside Doctors' Hospital of Williamsburg

Cash: N/A
Insurance Plan Negotiated Rate
Aetna Managed Medicaid $13,590
Anthem Managed Medicaid $13,590
UnitedHealthcare Managed Medicaid $13,590
Sentara Health Plans Managed Medicaid $13,932
Humana Managed Medicaid $14,270
Humana Tricare $15,002
Johns Hopkins Health Plan Tricare $16,306
Veterans Administration Veterans Administration $17,559
UnitedHealthcare Medicare Advantage $17,910
Aetna Medicare Advantage $18,086
Anthem Medicare Advantage $18,086
Humana Medicare Advantage $18,086
Sentara Health Plans Medicare Advantage $18,437
Anthem HMO Products $54,216
Anthem PPO Products $61,795

CJW Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $4,250
Bright Health COMM $4,278
Lifeworks MCR $4,950
Oscar COMM $6,238
UnitedHealthcare NavigateCorePayer $11,586
UnitedHealthcare NewBusiness $13,876
UnitedHealthcare SmallBusiness $13,876
UnitedHealthcare AllPayerAppendix $15,417
Cigna IFP $42,109
Anthem HIX $46,633
Anthem HPN $59,173
Cigna HMO $61,200
Cigna PPO $61,200
Anthem HMO $64,144
Anthem PPO $64,144

Henrico Doctors' Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $4,250
Bright Health COMM $4,278
Lifeworks MCR $4,950
Oscar COMM $6,238
UnitedHealthcare NavigateCorePayer $11,586
UnitedHealthcare NewBusiness $13,876
UnitedHealthcare SmallBusiness $13,876
UnitedHealthcare AllPayerAppendix $15,417
Cigna IFP $42,109
Anthem HIX $46,715
Anthem HPN $59,278
Cigna HMO $61,200
Cigna PPO $61,200
Anthem HMO $64,257
Anthem PPO $64,257

Spotsylvania Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Bright Health COMM $4,278
Lifeworks MCR $4,950
UnitedHealthcare AllPayerAppendix $7,385
Cigna IFP $25,786
Anthem HIX $34,052
Anthem HMO $46,840
Anthem HPN $46,840
Anthem PPO $46,840
Cigna HMO $57,215
Cigna PPO $57,215

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Lumbar Spine Fusion (CPT 22612). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Bon Secours Memorial Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Bon Secours St Marys Hospital Nonprofit Call billing, request Financial Assistance application
Bon Secours St Francis Medical Center Nonprofit Call billing, request Financial Assistance application
Sentara Williamsburg Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Riverside Walter Reed Hospital Nonprofit Call billing, request Financial Assistance application
Riverside Doctors' Hospital of Williamsburg Nonprofit Call billing, request Financial Assistance application
CJW Medical Center For-profit N/A (for-profit)
Stafford Hospital, LLC Nonprofit Call billing, request Financial Assistance application
Henrico Doctors' Hospital Nonprofit Call billing, request Financial Assistance application
Spotsylvania Regional Medical Center For-profit N/A (for-profit)
Mary Washington Hospital Nonprofit Call billing, request Financial Assistance application

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.