CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: CHI Saint Joseph Flaget Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$30,565

about 1.3× the $23,504 Medicare rate · typically $25,666–$30,565

modeled estimate · not a bill or quote

What this hospital charges insurers

$25,712

Below the fair price — a good deal

about $4,853 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $30,565 This hospital $25,712

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $21,483 Priciest $25,712

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $30,565 (about 1.3× the $23,504 Medicare rate). CHI Saint Joseph Flaget Memorial Hospital charges insurers about $25,712 — below the fair price — a good deal. Located in Bardstown, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$24,547 - $50,271	104%
Blue Cross Blue Shieldmajor	$25,269 - $43,050	108%
Aetnamajor	$21,659 - $26,092	92%
Humanamajor	$24,066 - $32,135	102%
CareSource	$50,665	216%
Molina	$24,547 - $26,599	104%
WellCare	$24,547 - $25,332	104%

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 CHI Saint Joseph Flaget Memorial Hospital 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 CHI Saint Joseph Flaget Memorial Hospital

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

Georgetown Community Hospital · Georgetown $21,483
Saint Joseph London · London $21,694
Clark Regional Medical Center · Winchester $22,075
Saint Joseph Hospital · Lexington $22,383
Tristar Greenview Regional Hospital · Bowling Green $22,390
Harrison Memorial Hospital · Cynthiana $22,989
Frankfort Regional Medical Center · Frankfort $23,774
Saint Joseph East · Lexington $23,844

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