Spinal fusion, single level (inpatient stay)
Facility: SSM Health St Mary's Hospital - Janesville
Billing Code: 451 (MS-DRG)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a Spinal fusion, single level (inpatient stay) is about $36,539 (about 1.6× the $23,504 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $64,973 — well above the fair price. Located in Janesville, WI.
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 $36,539. 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.
1 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $64,973 - $69,412 | 276% |
| Dean Health Plan | $23,860 | 102% |
| Molina | $17,895 | 76% |
| + 2 smaller / regional plans | $58,150 - $100,062 |
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.
Other Procedures at SSM Health St Mary's Hospital - Janesville
Compare: Spinal fusion, single level (inpatient stay) at other WI hospitals
- Ascension Sacred Heart Rehabilitation Hospital · Mequon $15,202
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $15,215
- Orthopaedic Hospital of Wisconsin · Glendale $22,143
- Thedacare Regional Med Ctr - Neenah · Neenah $22,570
- Sauk Prairie Hospital · Prairie Du Sac $22,833
- Oakleaf Surgical Hospital · Altoona $22,877
- The Monroe Clinic · Monroe $22,975
- Mile Bluff Medical Center · Mauston $23,232
Insurance negotiated median for the same procedure, sorted lowest first.