CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercy Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,191
about 1.1× the $23,504 Medicare rate · typically $14,745–$36,068
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,488
Above the fair price
about $10,297 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $26,191 This hospital $36,488

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 $36,488

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 $26,191 (about 1.1× the $23,504 Medicare rate). Mercy Regional Medical Center charges insurers about $36,488 — above the fair price. Located in Lorain, 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 $26,191. 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 $23,094 - $55,204 98%
Blue Cross Blue Shieldmajor $23,094 - $57,553 98%
Aetnamajor $23,094 - $45,896 98%
Cignamajor $52,087 222%
Humanamajor $23,094 98%
CareSource $23,556 - $41,366 100%
Devoted Health $23,325 99%
Medical Mutual $43,213 184%
Molina $24,249 - $36,639 103%
Paramount $23,094 98%
+ 3 smaller / regional plans $23,094 - $36,639
Government programs also on file: Medicare.

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: 3700 Kolbe Road, Lorain, OH 44053
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals