CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Franciscan Health Michigan City

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$37,547

about 1.6× the $23,504 Medicare rate · typically $23,007–$67,544

modeled estimate · not a bill or quote

What this hospital charges insurers

$80,760

Well above the fair price

about $43,213 over the fair price · 3.4× Medicare

Medicare pays $23,504 Fair price $37,547 This hospital $80,760 Cash price $41,939 Hospital's list price $201,629

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 $80,760

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 $37,547 (about 1.6× the $23,504 Medicare rate). Franciscan Health Michigan City charges insurers about $80,760, or about $41,939 in cash — well above the fair price. Located in Michigan City, 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 $37,547. 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.

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor	$80,760	344%
+ 2 smaller / regional plans	$80,760 - $88,836

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 41,939), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Franciscan Health Michigan City is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Franciscan Health Michigan City

Compare: Spinal fusion, single level (inpatient stay) at other IN hospitals

Ascension St Vincent Warrick · Boonville $13,590
Ascension St Vincent Salem · Salem $13,700
Ascension St Vincent Evansville · Evansville $13,833
Ascension St Vincent Randolph · Winchester $13,833
Ascension St Vincent Jennings · North Vernon $13,833
Ascension St Vincent Williamsport · Williamsport $13,833
Ascension St Vincent Mercy · Elwood $13,833
Ascension St Vincent Clay · Brazil $13,833

Insurance negotiated median for the same procedure, sorted lowest first.