CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Lukes Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,462
about 1.1× the $23,504 Medicare rate · typically $24,345–$26,818
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,341
About the fair price
about $2,121 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $26,462 This hospital $24,341

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 6 of 8 other IA hospitals charge less.

Cheapest $21,458 Priciest $25,073

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,462 (about 1.1× the $23,504 Medicare rate). St Lukes Regional Medical Center charges insurers about $24,341 — about the fair price. Located in Sioux City, IA.

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 $24,341 - $32,551 104%
Blue Cross Blue Shieldmajor $23,645 101%
Aetnamajor $23,645 - $33,181 101%
Humanamajor $24,341 104%
Amerigroup $21,862 93%
HealthPartners $30,983 132%
Medica $37,788 - $42,107 161%
Molina $23,645 101%
+ 2 smaller / regional plans $21,862 - $24,341

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Facility Profile & Credentials

  • Address: 2720 Stone Park Boulevard, Sioux City, IA 51104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals