CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Indiana University Health Bloomington Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,428
about 1.3× the $23,504 Medicare rate · typically $28,431–$50,207
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,796
Above the fair price
about $6,368 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $31,428 This hospital $37,796

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 $37,796

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 $31,428 (about 1.3× the $23,504 Medicare rate). Indiana University Health Bloomington Hospital charges insurers about $37,796 — above the fair price. Located in Bloomington, 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 $31,428. 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 $25,877 - $71,566 110%
Blue Cross Blue Shieldmajor $25,877 - $65,900 110%
Aetnamajor $25,877 110%
Humanamajor $24,941 - $25,440 106%
Ambetter (Centene) $42,806 182%
CareSource $38,816 165%
Health Net $64,693 - $75,349 275%
WellCare $26,395 112%
+ 6 smaller / regional plans $25,877 - $66,223

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: 601 W Second St, Bloomington, IN 47403
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals