CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: SSM Health St Anthony Hospital - Midwest

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$31,609

about 1.3× the $23,504 Medicare rate · typically $25,893–$37,172

modeled estimate · not a bill or quote

What this hospital charges insurers

$32,252

About the fair price

about $643 over the fair price · 1.4× Medicare

Medicare pays $23,504 Fair price $31,609 This hospital $32,252

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 $32,252

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 $31,609 (about 1.3× the $23,504 Medicare rate). SSM Health St Anthony Hospital - Midwest charges insurers about $32,252 — about the fair price. Located in Midwest 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	$23,952 - $29,568	102%
Blue Cross Blue Shieldmajor	$23,952 - $119,240	102%
Cignamajor	$39,159	167%
Humanamajor	$24,360	104%
Ambetter (Centene)	$32,336	138%
Health Net	$34,829	148%
Medica	$34,783	148%
Oscar Health	$32,168	137%
+ 5 smaller / regional plans	$23,952 - $46,707

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 - Midwest 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 - Midwest

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.