CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Norton-King's Daughters' Health

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,610

about 1.2× the $23,504 Medicare rate · typically $23,481–$40,889

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,929

About the fair price

about $1,681 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $28,610 This hospital $26,929

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 $26,929

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 $28,610 (about 1.2× the $23,504 Medicare rate). Norton-King's Daughters' Health charges insurers about $26,929 — about the fair price. Located in Madison, IN.

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	$26,929	115%
Blue Cross Blue Shieldmajor	$26,929 - $63,491	115%
Aetnamajor	$24,236 - $26,929	103%
Humanamajor	$26,929	115%
CareSource	$37,701 - $40,394	160%
Molina	$26,929	115%
+ 3 smaller / regional plans	$26,929 - $53,858

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, 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 Norton-King's Daughters' Health 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 Norton-King's Daughters' Health

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.