Spinal fusion, single level (inpatient stay)
Facility: Indiana University Health Paoli Hospital
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $66,354 compared to the $45,767 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 IN hospitals we have prices for — worth calling around.
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 $45,767 (about 1.9× 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 $45,767. 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
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.
Other Procedures at Indiana University Health Paoli Hospital
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.
Audit a Bill or Quote at Indiana University Health Paoli Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $57,808
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $57,808).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Indiana University Health Paoli Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $45,767 Fair BaseRate ($23,504 Medicare)
Your bill ($159,250) is $113,483 above the denoised Fair BaseRate ($45,767) and 6.8× the $23,504 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.