CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$24,467

about 1.0× the $23,504 Medicare rate · typically $22,140–$30,995

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,955

Below the fair price — a good deal

about $2,512 under the fair price · 0.9× Medicare

Medicare pays $23,504 Fair price $24,467 This hospital $21,955 Cash price $80,600 Hospital's list price $123,999

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 $21,955

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Spinal fusion, single level (inpatient stay) is about $24,467 (about 1.0× the $23,504 Medicare rate). Mercy Specialty Hospital Southeast Kansas charges insurers about $21,955, or about $80,600 in cash — below the fair price — a good deal. Located in Galena, KS.

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	$21,955 - $30,333	93%
Blue Cross Blue Shieldmajor	$12,231 - $39,537	52%
Aetnamajor	$12,081 - $21,955	51%
Cignamajor	$21,955 - $38,477	93%
Humanamajor	$12,081	51%
Medica	$27,097	115%
+ 24 smaller / regional plans	$21,955 - $40,619

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 80,600), 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 Mercy Specialty Hospital Southeast Kansas 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 Mercy Specialty Hospital Southeast Kansas

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.