CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ascension St John Jane Phillips

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$27,336

about 1.2× the $23,504 Medicare rate · typically $12,186–$35,277

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,189

Below the fair price — a good deal

about $8,147 under the fair price · 0.8× Medicare

Medicare pays $23,504 Fair price $27,336 This hospital $19,189

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 4 charge more and 4 charge less, among the 9 OK hospitals compared.

Cheapest $11,017 Priciest $22,022

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $27,336 (about 1.2× the $23,504 Medicare rate). Ascension St John Jane Phillips charges insurers about $19,189 — below the fair price — a good deal. Located in Bartlesville, OK.

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	$13,440 - $19,764	57%
Blue Cross Blue Shieldmajor	$18,736 - $20,148	80%
Aetnamajor	$4,192 - $11,033	18%
Cignamajor	$8,761	37%
Humanamajor	$19,380	82%
Medica	$8,300 - $8,647	35%
+ 11 smaller / regional plans	$2,735 - $43,174

Government programs also on file: Medicare, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Ascension St John Jane Phillips is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ascension St John Jane Phillips

Compare: Spinal fusion, single level (inpatient stay) at other OK hospitals

Ascension St John Broken Arrow · Broken Arrow $11,017
Ascension St John Sapulpa · Sapulpa $11,017
Ascension St John Nowata · Nowata $16,493
Memorial Health · Lawton $19,121
St John Owasso · Owasso $19,303
Ascension St John Medical Center · Tulsa $20,035
Oklahoma Spine Hospital · Oklahoma City $21,403
McCurtain Memorial Hospital · Idabel $22,022

Insurance negotiated median for the same procedure, sorted lowest first.