CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,526
about 1.3× the $23,504 Medicare rate · typically $17,964–$42,638
modeled estimate · not a bill or quote
What this hospital charges insurers
$55,624
Well above the fair price
about $26,098 over the fair price · 2.4× Medicare
Medicare pays $23,504 Fair price $29,526 This hospital $55,624 Cash price $60,365

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $14,842 Priciest $55,624

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $29,526 (about 1.3× the $23,504 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $55,624, or about $60,365 in cash — well above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $29,526. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Kaiser Permanente CignaHumana

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 $24,175 103%
Blue Cross Blue Shieldmajor $23,001 - $69,216 98%
Aetnamajor $23,001 - $51,037 98%
Kaiser Permanentemajor $69,216 294%
CareSource $55,624 237%
GEHA $51,037 217%
Molina $30,512 130%
Priority Health $49,771 - $55,301 212%
+ 13 smaller / regional plans $23,471 - $69,216
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals