CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,657
about 1.1× the $23,504 Medicare rate · typically $23,518–$31,812
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,615
About the fair price
about $1,042 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $26,657 This hospital $25,615

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 $25,615

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 $26,657 (about 1.1× the $23,504 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $25,615 — about the fair price. Located in Jefferson City, MO.

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✓ Cigna✓ Humana AetnaKaiser 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 $25,041 - $35,647 107%
Blue Cross Blue Shieldmajor $25,557 - $35,644 109%
Cignamajor $34,030 145%
Humanamajor $25,608 109%
Ambetter (Centene) $25,180 - $30,259 107%
HealthLink $35,672 152%
WellCare $25,180 107%
+ 7 smaller / regional plans $25,180 - $45,323

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Facility Profile & Credentials

  • Address: 2505 Mission Drive, Jefferson City, MO 65109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals