Lumbar Spinal Fusion (single level) at Jewish Hospital
4777 E GALBRAITH RD, Cincinnati, OH · Mercy · · NPI 1336478163
$83,448.23
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$139,080.38
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$17,087.06 with HUMANA MEDICARE [1010] vs $26,442.65 with AETNA MEDICARE [1003] — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $17,087.06 | ↓ -80% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $17,087.06 | ↓ -80% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $17,087.06 | ↓ -80% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $17,087.06 | ↓ -80% |
| CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $17,428.80 | ↓ -79% |
| AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $26,442.65 | ↓ -68% |
Visitor-reported prices
Comments
Lumbar Spinal Fusion (single level) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $99,584.61 | not published |
| cleveland clinic main campus | Cleveland | $6,729.45 | $1.10 – $17,048.31 |
| akron general | Akron | $6,729.45 | $1.10 – $17,915.41 |
| mercy hospital | Canton | $6,729.45 | $1.10 – $17,085.99 |
| Lorain Hospital | Lorain | $33,427.42 | $16,588.34 – $16,920.11 |
| St Elizabeth Youngstown Hospital | Youngstown | $91,721.52 | $16,960.23 – $16,960.23 |
| St Anne Hospital | Toledo | $109,403.05 | $17,033.32 – $17,373.98 |
| avon hospital | Avon | not published | $7,939.95 – $18,247.18 |