CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Madison Health

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,561
about 1.1× the $23,504 Medicare rate · typically $24,821–$53,189
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,448
About the fair price
about $1,113 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $26,561 This hospital $25,448

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 $25,448

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 $26,561 (about 1.1× the $23,504 Medicare rate). Madison Health charges insurers about $25,448 — about the fair price. Located in London, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $24,949 106%
Blue Cross Blue Shieldmajor $24,949 106%
Aetnamajor $24,949 106%
Humanamajor $24,949 106%
Ambetter (Centene) $38,671 165%
CareSource $25,448 - $39,918 108%
Medical Mutual $25,448 108%
Molina $25,697 - $38,920 109%
+ 2 smaller / regional plans $24,949

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: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals