CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Lakeland Hospital, St Joseph

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,528

about 1.2× the $23,504 Medicare rate · typically $24,663–$36,842

modeled estimate · not a bill or quote

What this hospital charges insurers

$27,865

About the fair price

about $663 under the fair price · 1.2× Medicare

Medicare pays $23,504 Fair price $28,528 This hospital $27,865

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 $27,865

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 $28,528 (about 1.2× the $23,504 Medicare rate). Lakeland Hospital, St Joseph charges insurers about $27,865 — about the fair price. Located in St Joseph, MI.

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	$27,865	119%
Blue Cross Blue Shieldmajor	$27,865 - $58,149	119%
Aetnamajor	$27,865	119%
Humanamajor	$27,865	119%
Ambetter (Centene)	$41,797	178%
Priority Health	$27,865 - $44,658	119%
+ 3 smaller / regional plans	$27,865

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 Lakeland Hospital, St Joseph 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 Lakeland Hospital, St Joseph

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

Beacon Plainwell · Plainwell $14,842
Ascension River District Hospital · East China $20,415
Henry Ford Health West Bloomfield Hospital · W Bloomfield $22,002
Henry Ford Macomb Hospital · Clinton Township $22,412
Surgeons Choice Medical Center · Southfield $22,444
Wyandotte Hospital and Medical Center · Wyandotte $22,552
Henry Ford Allegiance Health · Jackson $22,628
Corewell Health Watervliet Hospital · Watervliet $23,160

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