CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: SSM Health St Anthony Hospital - Oklahoma City

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$31,196

about 1.3× the $23,504 Medicare rate · typically $25,789–$34,304

modeled estimate · not a bill or quote

What this hospital charges insurers

$34,783

About the fair price

about $3,587 over the fair price · 1.5× Medicare

Medicare pays $23,504 Fair price $31,196 This hospital $34,783

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $11,017 Priciest $34,783

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 $31,196 (about 1.3× the $23,504 Medicare rate). SSM Health St Anthony Hospital - Oklahoma City charges insurers about $34,783 — about the fair price. Located in Oklahoma City, OK.

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✓ Cigna✓ Humana AetnaKaiser 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	$26,240 - $56,945	112%
Blue Cross Blue Shieldmajor	$26,240 - $117,024	112%
Cignamajor	$39,159	167%
Humanamajor	$26,686	114%
Ambetter (Centene)	$35,424	151%
Healthcare Highways	$30,241 - $35,424	129%
Medica	$34,783	148%
Oscar Health	$32,168	137%
+ 5 smaller / regional plans	$26,240 - $51,168

Excludes 1 rental-network / third-party entry (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 SSM Health St Anthony Hospital - Oklahoma City 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 SSM Health St Anthony Hospital - Oklahoma City

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
Ascension St John Jane Phillips · Bartlesville $19,189
St John Owasso · Owasso $19,303
Ascension St John Medical Center · Tulsa $20,035
Oklahoma Spine Hospital · Oklahoma City $21,403

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