CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: SSM St Joseph Health Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,212
about 1.2× the $23,504 Medicare rate · typically $21,707–$36,603
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,970
About the fair price
about $1,242 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $27,212 This hospital $25,970

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $12,941 Priciest $25,970

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 $27,212 (about 1.2× the $23,504 Medicare rate). SSM St Joseph Health Center charges insurers about $25,970 — about the fair price. Located in Saint Charles, 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 $25,592 - $42,276 109%
Blue Cross Blue Shieldmajor $25,976 - $57,017 111%
Aetnamajor $25,592 - $37,990 109%
Cignamajor $38,390 163%
Humanamajor $26,027 111%
Ambetter (Centene) $25,592 - $30,153 109%
HealthLink $23,091 98%
Medica $23,185 - $25,592 99%
Molina $25,592 109%
Oscar Health $37,796 161%
+ 3 smaller / regional plans $25,592 - $25,848

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Facility Profile & Credentials

  • Address: 300 1St Capitol Dr, Saint Charles, MO 63301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals