CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Lima Memorial Health System

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,835
about 1.1× the $23,504 Medicare rate · typically $25,607–$38,957
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,916
Above the fair price
about $13,081 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $25,835 This hospital $38,916

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $14,537 Priciest $38,916

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $25,835 (about 1.1× the $23,504 Medicare rate). Lima Memorial Health System charges insurers about $38,916 — above the fair price. Located in Lima, OH.

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 $25,835. 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.

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 $22,892 97%
Blue Cross Blue Shieldmajor $22,892 - $51,745 97%
Aetnamajor $22,892 97%
Humanamajor $22,892 97%
CareSource $40,061 170%
Devoted Health $23,121 98%
Medical Mutual $52,410 - $65,513 223%
Molina $22,892 - $38,916 97%
+ 1 smaller / regional plan $38,916

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: 1001 Bellefontaine Avenue, Lima, OH 45804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals