CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Joseph Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,574
about 1.3× the $23,504 Medicare rate · typically $25,257–$36,064
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,838
Above the fair price
about $6,264 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $29,574 This hospital $35,838

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 $35,838

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 $29,574 (about 1.3× the $23,504 Medicare rate). St Joseph Medical Center charges insurers about $35,838 — above the fair price. Located in Bloomington, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $29,574. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $25,849 - $50,359 110%
Blue Cross Blue Shieldmajor $26,105 - $42,218 111%
Aetnamajor $25,849 - $35,838 110%
Cignamajor $52,504 223%
Humanamajor $25,593 109%
Cigna HealthSpring $25,593 109%
HealthLink $50,427 215%
Medica $25,593 109%
Meridian $25,593 109%
Molina $25,593 109%
WellCare $25,849 110%
+ 2 smaller / regional plans $25,593 - $47,577

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.

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Facility Profile & Credentials

  • Address: 2200 E Washington, Bloomington, IL 61701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals