CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$27,005
about 1.1× the $23,504 Medicare rate · typically $13,040–$46,574
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,208
Above the fair price
about $4,203 over the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $27,005 This hospital $31,208

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 $31,208

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 $27,005 (about 1.1× the $23,504 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $31,208 — above the fair price. Located in Cleveland, 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 $27,005. 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.

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 $31,208 133%
Blue Cross Blue Shieldmajor $31,208 133%
Aetnamajor $31,208 133%
Cignamajor $31,208 133%
Humanamajor $31,208 133%
Devoted Health $31,208 133%
Medical Mutual $31,208 133%
Molina $31,208 133%
Paramount $32,144 137%
WellCare $31,208 133%
+ 5 smaller / regional plans $31,208 - $32,769

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.

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens