CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Citizens Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$27,653

about 1.2× the $23,504 Medicare rate · typically $23,750–$29,193

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,752

About the fair price

about $901 under the fair price · 1.1× Medicare

Medicare pays $23,504 Fair price $27,653 This hospital $26,752

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 $26,752

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 $27,653 (about 1.2× the $23,504 Medicare rate). Citizens Memorial Hospital charges insurers about $26,752 — about the fair price. Located in Bolivar, 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✓ Aetna✓ Humana CignaKaiser 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	$2,384 - $26,752	10%
Blue Cross Blue Shieldmajor	$28,089	120%
Aetnamajor	$26,752	114%
Humanamajor	$26,752	114%
Ambetter (Centene)	$36,516	155%
Health Net	$26,752	114%
WellCare	$27,554	117%
+ 3 smaller / regional plans	$26,752 - $28,089

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 Citizens Memorial Hospital 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 Citizens Memorial Hospital

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.