CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: SSM Health Saint Louis University Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,462
about 1.2× the $23,504 Medicare rate · typically $21,405–$37,120
modeled estimate · not a bill or quote
What this hospital charges insurers
$34,832
Above the fair price
about $6,370 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $28,462 This hospital $34,832

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 $34,832

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 $28,462 (about 1.2× the $23,504 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $34,832 — 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 $28,462. 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 $34,832 - $61,381 148%
Blue Cross Blue Shieldmajor $34,135 145%
Aetnamajor $34,832 - $35,528 148%
Cignamajor $43,006 183%
Humanamajor $35,424 151%
Ambetter (Centene) $34,832 - $38,926 148%
HealthLink $47,624 - $71,604 203%
Medica $29,125 - $34,832 124%
Molina $34,832 148%
+ 6 smaller / regional plans $34,832 - $35,877

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: 1201 S Grand Blvd, Saint Louis, MO 63104
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals