CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: OSF Saint Anthony's Health Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,821
about 1.1× the $23,504 Medicare rate · typically $21,077–$35,022
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,423
About the fair price
about $602 over the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $25,821 This hospital $26,423

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $20,475 Priciest $26,423

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $25,821 (about 1.1× the $23,504 Medicare rate). OSF Saint Anthony's Health Center charges insurers about $26,423 — about the fair price. Located in Alton, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $24,600 - $26,423 105%
Blue Cross Blue Shieldmajor $26,951 115%
Aetnamajor $26,687 - $27,271 114%
Cignamajor $42,693 182%
Humanamajor $26,423 112%
Cigna HealthSpring $26,423 112%
Medica $124,735 531%
Meridian $26,423 112%
Molina $26,423 112%
WellCare $26,687 114%
+ 1 smaller / regional plan $26,423

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Facility Profile & Credentials

  • Address: St Anthony's Way, Alton, IL 62002
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals