CMS Price Transparency Data
Spinal fusion, single level (inpatient stay)
Facility: St Louis Childrens Hospital
Billing Code: 451 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$25,458
about 1.1× the $23,504 Medicare rate · typically $15,400–$46,443
modeled estimate · not a bill or quote
Medicare pays $23,504 Fair price $25,458 Cash price $77,688 Hospital's list price $129,480
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✓ Cigna HumanaKaiser 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 | $83,494 | 355% |
| Blue Cross Blue Shieldmajor | $64,083 - $65,928 | 273% |
| Aetnamajor | $145,217 | 618% |
| Cignamajor | $6,027 - $10,114 | 26% |
| Priority Health | $10,114 | 43% |
| + 10 smaller / regional plans | $7,300 - $145,217 |
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Other Procedures at St Louis Childrens 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.