CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Metrohealth System

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,821
about 1.1× the $23,504 Medicare rate · typically $14,611–$39,786
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,344
Above the fair price
about $9,523 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $26,821 This hospital $36,344

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 $36,344

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 $26,821 (about 1.1× the $23,504 Medicare rate). Metrohealth System charges insurers about $36,344 — above the fair price. Located in Cleveland, 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 $26,821. 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.

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 $36,344 - $47,247 155%
Blue Cross Blue Shieldmajor $34,413 - $44,696 146%
Aetnamajor $30,941 - $54,516 132%
Cignamajor $36,344 - $37,789 155%
Humanamajor $36,344 155%
CareSource $36,344 - $50,882 155%
Clover Health $36,344 155%
Devoted Health $36,344 155%
Medical Mutual $36,344 - $48,811 155%
Molina $36,344 - $50,882 155%
Paramount $36,344 155%
UniCare $36,344 155%
+ 10 smaller / regional plans $19,382 - $54,516

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: 2500 Metrohealth Drive, Cleveland, OH 44109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals