CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Indiana University Health Paoli Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$46,310
about 2.0× the $23,504 Medicare rate · typically $15,671–$63,367
modeled estimate · not a bill or quote
What this hospital charges insurers
$66,354
Above the fair price
about $20,044 over the fair price · 2.8× Medicare
Medicare pays $23,504 Fair price $46,310 This hospital $66,354

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 $66,354

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 $46,310 (about 2.0× the $23,504 Medicare rate). Indiana University Health Paoli Hospital charges insurers about $66,354 — above the fair price. Located in Paoli, 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 $46,310. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $3,474 - $3,821 15%
Aetnamajor $3,474 15%
Humanamajor $3,474 - $3,543 15%
Ambetter (Centene) $5,732 24%
CareSource $5,211 22%
Health Net $8,685 - $66,485 37%
WellCare $3,543 15%
+ 5 smaller / regional plans $3,474 - $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: 642 W Hospital Rd, Paoli, IN 47454
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals