Spinal fusion, single level (inpatient stay)
Facility: Mercy Regional Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $36,488 compared to the $27,217 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.34× fair market pricing.
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $27,217 (about 1.2× 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 $27,217. 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
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 |
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.
Other Procedures at Mercy Regional Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other OH hospitals
- Fulton County Health Center · Wauseon $14,537
- Blanchard Valley Hospital · Findlay $20,627
- Bluffton Hospital · Bluffton $20,627
- Bellevue Hospital · Bellevue $20,712
- Christ Hospital · Cincinnati $21,147
- University Hospitals Portage Medical Center · Ravenna $21,562
- Southwest General Health Center · Middleburg Heights $21,890
- Medina Hospital · Medina $22,102
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $31,788
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $31,788).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mercy Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $27,217 Fair BaseRate ($23,504 Medicare)
Your bill ($87,571) is $60,354 above the denoised Fair BaseRate ($27,217) and 3.7× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.