CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Saint Francis Hospital, Inc

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,095

about 1.2× the $23,504 Medicare rate · typically $16,208–$36,793

modeled estimate · not a bill or quote

What this hospital charges insurers

$33,738

Above the fair price

about $5,643 over the fair price · 1.4× Medicare

Medicare pays $23,504 Fair price $28,095 This hospital $33,738

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 $33,738

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 $28,095 (about 1.2× the $23,504 Medicare rate). Saint Francis Hospital, Inc charges insurers about $33,738 — above the fair price. Located in Tulsa, OK.

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 $28,095. 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.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$24,717 - $63,174	105%
Blue Cross Blue Shieldmajor	$24,717 - $25,458	105%
+ 5 smaller / regional plans	$24,717 - $53,948

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 Saint Francis Hospital, Inc 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 Saint Francis Hospital, Inc

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.