CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Cleveland Clinic

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$25,946

about 1.1× the $23,504 Medicare rate · typically $14,744–$35,296

modeled estimate · not a bill or quote

What this hospital charges insurers

$27,340

About the fair price

about $1,394 over the fair price · 1.2× Medicare

Medicare pays $23,504 Fair price $25,946 This hospital $27,340

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 $27,340

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 $25,946 (about 1.1× the $23,504 Medicare rate). Cleveland Clinic charges insurers about $27,340 — about the fair price. Located in Cleveland, 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	$27,340 - $115,805	116%
Blue Cross Blue Shieldmajor	$27,340 - $48,006	116%
Aetnamajor	$27,340 - $88,788	116%
Cignamajor	$16,500 - $28,160	70%
Humanamajor	$27,340	116%
Devoted Health	$27,340	116%
UniCare	$28,707	122%
UPMC Health Plan	$27,340	116%
+ 10 smaller / regional plans	$21,635 - $108,180

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 Cleveland Clinic 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 Cleveland Clinic

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.