CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Health Saint Mary's

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,057
about 1.2× the $23,504 Medicare rate · typically $22,705–$48,803
modeled estimate · not a bill or quote
What this hospital charges insurers
$53,231
Well above the fair price
about $24,174 over the fair price · 2.3× Medicare
Medicare pays $23,504 Fair price $29,057 This hospital $53,231 Cash price $57,469

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 $53,231

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 $29,057 (about 1.2× the $23,504 Medicare rate). Mercy Health Saint Mary's charges insurers about $53,231, or about $57,469 in cash — well above the fair price. Located in Grand Rapids, 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 $29,057. 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 $26,104 111%
Blue Cross Blue Shieldmajor $24,837 - $63,580 106%
Aetnamajor $24,837 - $53,231 106%
Kaiser Permanentemajor $63,580 271%
CareSource $36,704 156%
GEHA $53,231 226%
Medical Mutual $53,231 226%
Molina $32,947 140%
Oscar Health $29,087 124%
+ 11 smaller / regional plans $17,741 - $63,580
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: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals