CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Kettering Health Dayton

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$34,065

about 1.4× the $23,504 Medicare rate · typically $28,847–$57,039

modeled estimate · not a bill or quote

What this hospital charges insurers

$35,130

About the fair price

about $1,065 over the fair price · 1.5× Medicare

Medicare pays $23,504 Fair price $34,065 This hospital $35,130

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 $35,130

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 $34,065 (about 1.4× the $23,504 Medicare rate). Kettering Health Dayton charges insurers about $35,130 — about the fair price. Located in Dayton, 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	$29,243 - $64,928	124%
Blue Cross Blue Shieldmajor	$29,243 - $57,158	124%
Aetnamajor	$29,243 - $53,769	124%
Cignamajor	$29,243 - $62,574	124%
Humanamajor	$29,243	124%
CareSource	$29,243 - $45,195	124%
Devoted Health	$29,243	124%
Medical Mutual	$29,243 - $64,314	124%
Molina	$30,705 - $74,775	131%
+ 6 smaller / regional plans	$29,243 - $68,719

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Kettering Health Dayton is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Kettering Health Dayton

Compare: Spinal fusion, single level (inpatient stay) at other OH hospitals

Fulton County Health Center · Wauseon $14,537
Medina Hospital · Medina $20,311
Blanchard Valley Hospital · Findlay $20,627
Bluffton Hospital · Bluffton $20,627
Bellevue Hospital · Bellevue $20,712
Marymount Hospital · Garfield Heights $20,950
Cleveland Clinic Avon Hospital · Avon $21,020
Lake Health Beachwood Medical Center · Beachwood $21,038

Insurance negotiated median for the same procedure, sorted lowest first.