CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: SSM St Clare Health Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,190
about 1.2× the $23,504 Medicare rate · typically $21,707–$36,707
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,333
Below the fair price — a good deal
about $2,857 under the fair price · 1.0× Medicare
Medicare pays $23,504 Fair price $27,190 This hospital $24,333

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 4 charge more and 4 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 $27,190 (about 1.2× the $23,504 Medicare rate). SSM St Clare Health Center charges insurers about $24,333 — below the fair price — a good deal. Located in Fenton, 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 $23,973 - $42,276 102%
Blue Cross Blue Shieldmajor $24,333 - $57,017 104%
Aetnamajor $23,973 - $37,990 102%
Cignamajor $38,390 163%
Humanamajor $24,381 104%
Ambetter (Centene) $23,973 - $30,153 102%
HealthLink $23,091 98%
Medica $23,185 - $23,973 99%
Molina $23,973 102%
Oscar Health $37,796 161%
+ 3 smaller / regional plans $23,973 - $24,213

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Facility Profile & Credentials

  • Address: 1015 Bowles, Fenton, MO 63026
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals