CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Honorhealth Deer Valley Medical Center

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $25,901
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Honorhealth Deer Valley Medical Center is $25,901. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.10x the Medicare baseline. Located in 19829 North 27Th Avenue, Phoenix, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$25,901

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$23,503.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $23,503.93 (100%)
Insurance Median: $25,901 (110%)
Ins. Median: $25,901 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $23,503.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $25,900 - $60,618 110%
Allwell $25,900 110%
Az Health Advantage $25,900 110%
Azpc $25,900 110%
Banner $25,900 110%
Banner University Health Plan $25,900 110%
Blue Cross Blue Shield $25,900 - $69,419 110%
Cigna $25,900 - $52,814 110%
Devoted Health $25,900 110%
Gold Kidney Of Arizona $25,900 110%
Health Choice $25,900 - $39,369 110%
Humana $25,900 - $45,584 110%
Mercy Care Plan $25,900 110%
Molina $25,900 110%
Scan Desert Health Plan $25,900 110%
Triwest $25,900 110%
Wellcare $25,900 110%
UnitedHealthcare $26,160 - $36,419 111%
Oscar Health Plan $30,321 129%
Ambetter / Centene $36,261 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 19829 North 27Th Avenue, Phoenix, AZ 85027
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals