CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Kettering Health Troy

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,317
about 1.5× the $23,504 Medicare rate · typically $28,455–$51,325
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,763
About the fair price
about $4,446 over the fair price · 1.6× Medicare
Medicare pays $23,504 Fair price $34,317 This hospital $38,763

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 $38,763

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 $34,317 (about 1.5× the $23,504 Medicare rate). Kettering Health Troy charges insurers about $38,763 — about the fair price. Located in Troy, 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 $24,570 - $64,928 105%
Blue Cross Blue Shieldmajor $24,570 - $57,158 105%
Aetnamajor $24,570 - $53,769 105%
Cignamajor $24,570 - $62,574 105%
Humanamajor $24,570 105%
CareSource $24,570 - $37,973 105%
Devoted Health $24,570 105%
Medical Mutual $24,570 - $64,314 105%
Molina $25,798 - $50,474 110%
+ 4 smaller / regional plans $24,570 - $57,737

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Facility Profile & Credentials

  • Address: 600 West Main Street, Troy, OH 45373
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals