CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Hays Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,223

about 1.2× the $23,504 Medicare rate · typically $24,415–$32,845

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,086

About the fair price

about $1,863 over the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $28,223 This hospital $30,086

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $12,231 Priciest $30,086

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,223 (about 1.2× the $23,504 Medicare rate). Hays Medical Center charges insurers about $30,086 — about the fair price. Located in Hays, KS.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$30,086 - $52,651	128%
Blue Cross Blue Shieldmajor	$30,086	128%
Aetnamajor	$30,086	128%
Ambetter (Centene)	$30,086 - $45,129	128%
Medica	$30,086	128%
+ 5 smaller / regional plans	$30,086 - $52,651

Government programs also on file: Medicaid.

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 Hays Medical Center 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 Hays Medical Center

Compare: Spinal fusion, single level (inpatient stay) at other KS hospitals

Scott County Hospital · Scott City $12,231
Kingman Healthcare Center · Kingman $12,779
Ascension Via Christi Hospital Manhattan, Inc · Manhattan $14,214
Wamego Health Center · Wamego $14,214
Ascension Via Christi Hospitals Wichita, Inc. · Wichita $14,274
Children's Mercy South · Overland Park $16,439
Ascension Via Christi Rehabilitation Hospital Inc · Wichita $18,538
Via Christi Hospital Wichita St Teresa, Inc · Wichita $18,615

Insurance negotiated median for the same procedure, sorted lowest first.