CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,082
about 1.0× the $23,504 Medicare rate · typically $16,108–$25,385
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,933
About the fair price
about $851 over the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $23,082 This hospital $23,933

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 $23,933

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 $23,082 (about 1.0× the $23,504 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $23,933 — about the fair price. Located in Madisonville, 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 $23,933 102%
Blue Cross Blue Shieldmajor $23,552 - $43,553 100%
Aetnamajor $23,552 - $23,933 100%
Humanamajor $23,933 102%
Ambetter (Centene) $42,394 180%
HealthLink $43,553 185%
Molina $23,933 102%
WellCare $21,414 91%
+ 6 smaller / regional plans $23,552 - $49,460

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Facility Profile & Credentials

  • Address: 900 Hospital Drive, Madisonville, KY 42431
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals