CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Health - Fairfield Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,478
about 1.3× the $23,504 Medicare rate · typically $26,615–$42,002
modeled estimate · not a bill or quote
What this hospital charges insurers
$34,011
About the fair price
about $3,533 over the fair price · 1.4× Medicare
Medicare pays $23,504 Fair price $30,478 This hospital $34,011

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 $34,011

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 $30,478 (about 1.3× the $23,504 Medicare rate). Mercy Health - Fairfield Hospital charges insurers about $34,011 — about the fair price. Located in Fairfield, OH.

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 $23,456 - $61,258 100%
Blue Cross Blue Shieldmajor $23,456 - $60,832 100%
Aetnamajor $23,456 - $46,457 100%
Cignamajor $47,797 203%
Humanamajor $23,456 100%
CareSource $23,925 - $34,011 102%
Devoted Health $23,690 101%
Medical Mutual $59,297 252%
Molina $24,629 - $38,262 105%
Paramount $23,456 100%
+ 3 smaller / regional plans $23,456 - $36,357
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 3000 Mack Road, Fairfield, OH 45014
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals