CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mount Carmel New Albany Surgical Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,401
about 1.3× the $23,504 Medicare rate · typically $24,214–$69,336
modeled estimate · not a bill or quote
What this hospital charges insurers
$67,615
Well above the fair price
about $38,214 over the fair price · 2.9× Medicare
Medicare pays $23,504 Fair price $29,401 This hospital $67,615 Cash price $60,419

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 $67,615

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 $29,401 (about 1.3× the $23,504 Medicare rate). Mount Carmel New Albany Surgical Hospital charges insurers about $67,615, or about $60,419 in cash — well above the fair price. Located in New Albany, 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 $29,401. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $22,120 - $68,061 94%
Blue Cross Blue Shieldmajor $21,687 - $86,565 92%
Aetnamajor $21,687 - $67,086 92%
Cignamajor $67,615 288%
GEHA $68,061 290%
HealthPartners $67,615 288%
Medical Mutual $52,639 - $72,987 224%
MVP Health Care $67,615 288%
Oscar Health $36,474 155%
Priority Health $67,615 288%
+ 10 smaller / regional plans $22,572 - $86,565
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7333 Smith's Mill Road, New Albany, OH 43054
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals