CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Iu Health West Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$31,080
about 1.3× the $23,504 Medicare rate · typically $14,653–$52,007
modeled estimate · not a bill or quote
What this hospital charges insurers
$41,188
Above the fair price
about $10,108 over the fair price · 1.8× Medicare
Medicare pays $23,504 Fair price $31,080 This hospital $41,188

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 $41,188

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 $31,080 (about 1.3× the $23,504 Medicare rate). Iu Health West Hospital charges insurers about $41,188 — above the fair price. Located in Avon, 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 $31,080. 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 $25,524 - $73,346 109%
Blue Cross Blue Shieldmajor $25,524 - $79,145 109%
Aetnamajor $25,524 109%
Cignamajor $111,110 - $169,121 473%
Humanamajor $25,136 - $25,638 107%
Ambetter (Centene) $42,220 180%
CareSource $38,286 163%
Health Net $63,811 - $84,213 271%
WellCare $26,035 111%
+ 6 smaller / regional plans $25,524 - $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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1111 N Ronald Reagan Pkwy, Avon, IN 46123
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals