CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Nkc Health

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$30,280

about 1.3× the $23,504 Medicare rate · typically $20,502–$41,935

modeled estimate · not a bill or quote

What this hospital charges insurers

$40,070

Above the fair price

about $9,790 over the fair price · 1.7× Medicare

Medicare pays $23,504 Fair price $30,280 This hospital $40,070

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 $40,070

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 $30,280 (about 1.3× the $23,504 Medicare rate). Nkc Health charges insurers about $40,070 — above the fair price. Located in North Kansas City, 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 $30,280. 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	$24,264 - $43,720	103%
Blue Cross Blue Shieldmajor	$20,384 - $45,814	87%
Aetnamajor	$42,693 - $45,452	182%
Cignamajor	$38,377	163%
Humanamajor	$24,871	106%
Oscar Health	$33,612	143%
+ 4 smaller / regional plans	$41,995 - $53,734

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, 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 Nkc Health 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 Nkc Health

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
Mercy Hospital Joplin · Joplin $25,001
Cox Monett Hospital · Monett $25,161
Saint Francis Medical Center · Cape Girardeau $25,476

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