CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Saint Joseph East

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,464
about 1.1× the $23,504 Medicare rate · typically $22,117–$28,214
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,844
About the fair price
about $1,620 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $25,464 This hospital $23,844

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 7 of 8 other KY hospitals charge less.

Cheapest $21,483 Priciest $23,912

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 $25,464 (about 1.1× the $23,504 Medicare rate). Saint Joseph East charges insurers about $23,844 — about the fair price. Located in Lexington, 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 $22,764 - $49,913 97%
Blue Cross Blue Shieldmajor $23,433 - $46,296 100%
Aetnamajor $20,086 - $24,197 85%
Humanamajor $22,317 - $38,620 95%
CareSource $46,984 200%
Molina $22,764 - $24,667 97%
WellCare $22,764 - $23,492 97%

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Facility Profile & Credentials

  • Address: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals