Spinal fusion, single level (inpatient stay)
Facility: Mount Carmel New Albany Surgical Hospital
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $67,615 compared to the $32,969 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
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 $32,969 (about 1.4× 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 $32,969. 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
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 |
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 Mount Carmel New Albany Surgical Hospital
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 Mount Carmel New Albany Surgical Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $58,906
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 = $58,906).
Self-Pay Cash Rate ($60,419) Beats Your Bill
Mount Carmel New Albany Surgical Hospital's published 45 CFR § 180 self-pay cash rate is $60,419 (vs. $67,615 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $32,969 Fair BaseRate ($23,504 Medicare)
Your bill ($162,276) is $129,307 above the denoised Fair BaseRate ($32,969) and 6.9× the $23,504 Medicare rate.
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.