CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Mary Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,134
about 1.1× the $23,504 Medicare rate · typically $25,743–$33,490
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,711
About the fair price
about $423 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $26,134 This hospital $25,711

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 $25,711

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 $26,134 (about 1.1× the $23,504 Medicare rate). St Mary Medical Center charges insurers about $25,711 — about the fair price. Located in Galesburg, 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 $25,459 - $44,764 108%
Blue Cross Blue Shieldmajor $25,711 - $45,403 109%
Aetnamajor $25,459 - $36,746 108%
Cignamajor $54,694 233%
Humanamajor $25,207 107%
Meridian $25,207 107%
Molina $25,207 107%
WellCare $25,459 108%
+ 1 smaller / regional plan $51,056
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 3333 North Seminary, Galesburg, IL 61401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals