CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Hospital South

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,156
about 1.1× the $23,504 Medicare rate · typically $20,262–$33,971
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,784
Above the fair price
about $5,628 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $26,156 This hospital $31,784 Cash price $37,316 Hospital's list price $57,409

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 $31,784

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 $26,156 (about 1.1× the $23,504 Medicare rate). Mercy Hospital South charges insurers about $31,784, or about $37,316 in cash — above the fair price. Located in Saint Louis, MO.

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 $26,156. 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.

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 $23,892 - $39,850 102%
Blue Cross Blue Shieldmajor $11,946 - $51,951 51%
Aetnamajor $23,892 - $37,718 102%
Cignamajor $23,892 - $34,843 102%
Humanamajor $16,507 - $23,892 70%
Ambetter (Centene) $3,478 15%
HealthLink $3,822 - $43,727 16%
Medica $26,583 113%
+ 31 smaller / regional plans $3,478 - $55,976
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 10010 Kennerly Road, Saint Louis, MO 63128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals