CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Good Samaritan Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,893
about 1.3× the $23,504 Medicare rate · typically $27,179–$41,982
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,145
Above the fair price
about $8,252 over the fair price · 1.7× Medicare
Medicare pays $23,504 Fair price $30,893 This hospital $39,145

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 $39,145

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 $30,893 (about 1.3× the $23,504 Medicare rate). Good Samaritan Hospital charges insurers about $39,145 — above the fair price. Located in Cincinnati, 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 $30,893. 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 $26,996 - $65,800 115%
Blue Cross Blue Shieldmajor $26,996 - $63,923 115%
Aetnamajor $26,996 - $56,506 115%
Cignamajor $49,483 211%
Humanamajor $26,996 115%
CareSource $26,996 115%
Medical Mutual $27,536 - $67,751 117%
Molina $26,996 115%
Oscar Health $37,250 158%
WellCare $27,806 118%
+ 5 smaller / regional plans $26,996 - $77,749
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: 375 Dixmyth Avenue, Cincinnati, OH 45220
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals