CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Clinton Memorial Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,203

about 1.2× the $23,504 Medicare rate · typically $23,807–$34,079

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,809

Below the fair price — a good deal

about $4,394 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $28,203 This hospital $23,809

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 $23,809

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 $28,203 (about 1.2× the $23,504 Medicare rate). Clinton Memorial Hospital charges insurers about $23,809 — below the fair price — a good deal. Located in Wilmington, 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	$23,809 - $49,545	101%
Blue Cross Blue Shieldmajor	$23,809	101%
Aetnamajor	$23,809 - $56,506	101%
Cignamajor	$23,809 - $31,658	101%
Humanamajor	$23,809	101%
CareSource	$23,809 - $30,952	101%
Molina	$23,809	101%
Oscar Health	$23,809	101%
+ 3 smaller / regional plans	$23,809 - $34,523

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 Clinton Memorial Hospital 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 Clinton Memorial Hospital

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.