CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Hospital Joplin

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$26,329

about 1.1× the $23,504 Medicare rate · typically $20,824–$32,210

modeled estimate · not a bill or quote

What this hospital charges insurers

$25,001

About the fair price

about $1,328 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $26,329 This hospital $25,001 Cash price $63,048 Hospital's list price $96,996

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MO hospitals compared.

Cheapest $12,941 Priciest $25,615

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $26,329 (about 1.1× the $23,504 Medicare rate). Mercy Hospital Joplin charges insurers about $25,001, or about $63,048 in cash — about the fair price. Located in Joplin, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$25,001 - $35,628	106%
Blue Cross Blue Shieldmajor	$13,421 - $36,972	57%
Aetnamajor	$12,081 - $25,001	51%
Cignamajor	$25,001 - $38,477	106%
Humanamajor	$12,081 - $23,776	51%
Ambetter (Centene)	$2,728	12%
HealthLink	$31,800 - $34,979	135%
Medica	$27,097	115%
+ 28 smaller / regional plans	$2,728 - $40,619

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 63,048), 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 Mercy Hospital Joplin 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 Mercy Hospital Joplin

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

Cass Regional Medical Center · Harrisonville $12,941
The Children's Mercy Hospital · Kansas City $15,120
Cox Barton County Hospital · Lamar $23,161
Boone Hospital Center · Columbia $23,941
SSM St Clare Health Center · Fenton $24,333
Cox Monett Hospital · Monett $25,161
Saint Francis Medical Center · Cape Girardeau $25,476
SSM Health St. Mary's Hospital - Jefferson City · Jefferson City $25,615

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