Spinal fusion, single level (inpatient stay)
Facility: St Lukes Regional Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $24,341 compared to the $24,331 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.00× fair market pricing.
On the higher side — 6 of 8 other IA hospitals charge less.
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 $24,331 (about 1.0× 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
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 |
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.
Other Procedures at St Lukes Regional Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other IA hospitals
- Grinnell Regional Medical Center · Grinnell $21,458
- Mary Greeley Medical Center · Ames $21,582
- Allen Hospital · Waterloo $22,716
- St Lukes Hospital · Cedar Rapids $22,775
- University of Iowa Health Care Medical Center Down · Iowa City $23,452
- Finley Hospital · Dubuque $24,116
- Unitypoint Health - Des Moines Iowa Methodist Medi · Des Moines $24,386
- Henry County Health Center · Mount Pleasant $25,073
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at St Lukes Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $21,206
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $21,206).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask St Lukes Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $24,331 Fair BaseRate ($23,504 Medicare)
Your bill ($58,418) is $34,087 above the denoised Fair BaseRate ($24,331) and 2.5× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.