CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: CHI Health Bergan Mercy

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,342
about 1.5× the $23,504 Medicare rate · typically $29,045–$51,929
modeled estimate · not a bill or quote
What this hospital charges insurers
$51,876
Above the fair price
about $17,534 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $34,342 This hospital $51,876

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $24,171 Priciest $51,876

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,342 (about 1.5× the $23,504 Medicare rate). CHI Health Bergan Mercy charges insurers about $51,876 — above the fair price. Located in Omaha, NE.

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 $34,342. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $27,344 - $126,666 116%
Blue Cross Blue Shieldmajor $27,344 116%
Humanamajor $27,344 116%
Ambetter (Centene) $28,165 120%
Amerigroup $28,711 122%
Medica $27,344 - $72,959 116%
+ 9 smaller / regional plans $27,344 - $182,956
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7500 Mercy Rd, Omaha, NE 68124
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals