CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Methodist Hospitals Inc

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$36,420
about 1.5× the $23,504 Medicare rate · typically $23,789–$50,441
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,972
Above the fair price
about $6,552 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $36,420 This hospital $42,972 Cash price $112,701 Hospital's list price $161,002

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $13,590 Priciest $42,972

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $36,420 (about 1.5× the $23,504 Medicare rate). Methodist Hospitals Inc charges insurers about $42,972, or about $112,701 in cash — above the fair price. Located in Gary, IN.

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 $36,420. 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.

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 $26,044 - $47,752 111%
Blue Cross Blue Shieldmajor $26,044 - $49,832 111%
Aetnamajor $26,044 - $96,280 111%
Humanamajor $26,044 111%
Ambetter (Centene) $52,087 222%
CareSource $42,972 183%
MagnaCare $120,171 511%
+ 2 smaller / regional plans $26,565 - $108,353
Government programs also on file: Medicare.

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: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals