CMS Price Transparency Data
Spinal fusion, single level (inpatient stay)
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 451 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 451
- Insurance Median: $33,272
- Cash Discount Price: $156,615
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $33,272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156,615. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.42x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$156,615
Average discount available for prompt cash payment at this facility.
Insurance Median
$33,272
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%)
Cash / Self-Pay: $156,615 (666%)
Insurance Median: $33,272 (142%)
Cash: $156,615 (666% of Medicare)
Ins. Median: $33,272 (142% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| California Health & Wellness Medi-Cal [1122] | $2,600 | 11% |
| Alternate Medi-Cal [2001] | $3,106 | 13% |
| Medi-Cal [1048] | $3,106 | 13% |
| UnitedHealthcare | $3,800 - $284,755 | 16% |
| Blue Cross Blue Shield | $7,746 - $166,980 | 33% |
| Alternate Healthnet [1007] | $8,294 - $284,755 | 35% |
| Health Net [1039] | $8,294 - $284,755 | 35% |
| Cigna | $9,735 - $284,755 | 41% |
| Alternate Scan Health [2088] | $31,608 | 134% |
| Scan Health [1072] | $31,608 | 134% |
| Alternate Blue Shield [2002] | $32,606 - $284,755 | 139% |
| Blue Shield [1014] | $32,606 - $284,755 | 139% |
| Imperial County Med Grp [1044] | $32,606 - $33,272 | 139% |
| Aetna | $33,190 - $284,755 | 141% |
| Fresenius [1034] | $33,190 | 141% |
| Humana | $33,190 - $242,042 | 141% |
| Inland Empire Health Plan [1121] | $33,190 - $33,272 | 141% |
| Molina [1055] | $33,190 - $33,272 | 141% |
| Unlisted Commercial Non-Contracted [1026] | $33,190 - $33,272 | 141% |
| Advantra Freedom [1002] | $33,272 | 142% |
| Affiliated Doctors Of Orange County [2041] | $33,272 | 142% |
| Alignment Health Plan [2020] | $33,272 - $40,462 | 142% |
| Alphacare [2062] | $33,272 | 142% |
| Alternate Brand New Day [2079] | $33,272 | 142% |
| Alternate Health Net Bh [2059] | $33,272 - $284,755 | 142% |
| Ama - American Medical Association [1009] | $33,272 | 142% |
| American Specialty Health Plan [2038] | $33,272 | 142% |
| Arch Health Partners [2000] | $33,272 | 142% |
| Astiva Health [2095] | $33,272 | 142% |
| Bankers Life [1011] | $33,272 | 142% |
| Beacon Health Strategy [2039] | $33,272 | 142% |
| Beaver Med Grp [2075] | $33,272 | 142% |
| Blue Shield Promise [1017] | $33,272 | 142% |
| Brand New Day [1089] | $33,272 | 142% |
| Caremore [2028] | $33,272 | 142% |
| Central Health Plan [2026] | $33,272 | 142% |
| Chesapeake Life [1021] | $33,272 | 142% |
| Christian Healthcare Ministries [2030] | $33,272 | 142% |
| Clever Care [2061] | $33,272 | 142% |
| Community Care Ipa [1131] | $33,272 | 142% |
| Community Eldercare [1027] | $33,272 | 142% |
| Easy Access Care [2077] | $33,272 | 142% |
| Easy Choice [1029] | $33,272 | 142% |
| Empire Phys Med Grp [2072] | $33,272 | 142% |
| Encompass Med Grp [1030] | $33,272 | 142% |
| Golden Physicians Medical Group [2082] | $33,272 | 142% |
| Graybill Med Grp [1037] | $33,272 - $284,755 | 142% |
| Greater Newport Physicians [2096] | $33,272 | 142% |
| Health Care Support [2011] | $33,272 | 142% |
| Healthcare Partners [2073] | $33,272 | 142% |
| Hemet Community Med Grp - Promisecare [1040] | $33,272 | 142% |
| High Desert Medical Group [2053] | $33,272 | 142% |
| Hmsa - Hawaii Medical Service Assoc Mdcr [1041] | $33,272 | 142% |
| Imperial Health Holdings [1132] | $33,272 | 142% |
| Imperial Health Plan [2081] | $33,272 | 142% |
| Inland Empire Health Plan Transplant [1126] | $33,272 | 142% |
| Inland Faculty Medical Group [2063] | $33,272 | 142% |
| Integrated Health Partners [2068] | $33,272 | 142% |
| Inter Valley Health Plan [2024] | $33,272 | 142% |
| Kern Health Systems [2033] | $33,272 | 142% |
| Key Med Grp [2074] | $33,272 | 142% |
| La Care Health Plan [2025] | $33,272 | 142% |
| Lakeside Medical Group [2054] | $33,272 | 142% |
| Medcare Partners [2084] | $33,272 | 142% |
| Medicare (plans) | $33,272 - $40,004 | 142% |
| Menifee Med Grp [2076] | $33,272 | 142% |
| Mercy Physicians Med Grp [1052] | $33,272 | 142% |
| Monarch Healthcare [2006] | $33,272 | 142% |
| Mutual Of Omaha [1059] | $33,272 | 142% |
| Mvp Healthcare [1060] | $33,272 | 142% |
| Palomar Health [1128] | $33,272 - $39,926 | 142% |
| Premier Patient Care Ipa [2069] | $33,272 | 142% |
| Primary Care Associates Of Ca [2067] | $33,272 | 142% |
| Pyramid Life [1068] | $33,272 | 142% |
| Redlands Community Hospital [2005] | $33,272 | 142% |
| River City Medical Group [2066] | $33,272 | 142% |
| Riverside Medical Clinic [2064] | $33,272 | 142% |
| Scripps Clinic [1073] | $33,272 - $170,853 | 142% |
| Sdsm [2017] | $33,272 | 142% |
| Sharp Community Med Grp [1078] | $33,272 - $284,755 | 142% |
| Sharp Health Plan [1079] | $33,272 - $284,755 | 142% |
| Sharp Rees Stealy [1080] | $33,272 - $284,755 | 142% |
| Sierra Medical Group [2048] | $33,272 | 142% |
| Simnsa Health Plan [2047] | $33,272 | 142% |
| St Joseph St Jude [2065] | $33,272 | 142% |
| Sterling Option 1 [1083] | $33,272 | 142% |
| Transamerica [1084] | $33,272 | 142% |
| Tri-City Medical Center [1129] | $33,272 | 142% |
| Tri-City [1085] | $33,272 | 142% |
| United American [1087] | $33,272 | 142% |
| Unlisted Hospice [1035] | $33,272 | 142% |
| Us Marshal Services [1090] | $33,272 | 142% |
| Usaa [1091] | $33,272 | 142% |
| Vantage [1092] | $33,272 | 142% |
| Village Health [1094] | $33,272 | 142% |
| Well Care [1096] | $33,272 | 142% |
| Ximed [2016] | $33,272 | 142% |
| Mc Blue Shield Generic Payor [164016] | $34,171 | 145% |
| Mc Blue Shield Hmo [164015] | $34,171 | 145% |
| Mc Brand New Day Generic Payor [164031] | $34,171 | 145% |
| Mc Brand New Day Hmo [164030] | $34,171 | 145% |
| Mc Healthnet Generic Payor [164010] | $34,171 | 145% |
| Mc Healthnet Hmo [164004] | $34,171 | 145% |
| Mc Hnet Blue&Gold Aco [164017] | $34,171 | 145% |
| Mc Scan Generic Payor [164034] | $34,171 | 145% |
| Mc Scan Hmo [164035] | $34,171 | 145% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $34,171 | 145% |
| Trivalley Medical Group [2086] | $36,599 - $49,908 | 156% |
| Community Health Group [1022] | $37,597 | 160% |
| Immigration Health Services [1043] | $40,004 | 170% |
| Desert Oasis Health Care [2052] | $40,462 | 172% |
| Heritage Victor Valley Medical Group [2045] | $40,462 | 172% |
| Regal Mg 'Heritage Provider Network' [2019] | $40,462 | 172% |
| San Diego Pace [2046] | $40,462 - $40,821 | 172% |
| Alternate Va - Veterans Administration [1239] | $40,821 | 174% |
| Cal Optima [1016] | $40,821 | 174% |
| Champva [1020] | $40,821 | 174% |
| Global Excel [1036] | $40,821 | 174% |
| Pace [2044] | $40,821 | 174% |
| State Of California [1082] | $40,821 | 174% |
| Triwest Alternate [2036] | $40,821 | 174% |
| Triwest [2003] | $40,821 | 174% |
| Ucr Prompt Pay Payor [8240] | $40,821 | 174% |
| Va - Veterans Administration [1093] | $40,821 | 174% |
| Clippers Workers Compensation [2097] | $53,067 | 226% |
| Department Of Labor [1028] | $53,067 | 226% |
| San Diego Sockers [2015] | $53,067 | 226% |
| Sedgwick [1077] | $53,067 | 226% |
| Workers Compensation [1097] | $53,067 | 226% |
| Cmn - Canadian Medical Network [1024] | $69,395 | 295% |
| Quality Health [1069] | $75,518 | 321% |
| Usoc - Us Olympic Committee [1123] | $122,729 | 522% |
| Sd Physicians Med Grp [1076] | $156,615 | 666% |
| Scripps Health Plan Services [1075] | $170,853 | 727% |
| Kaiser [1046] | $179,396 | 763% |
| Admar [1001] | $185,091 | 787% |
| Alternate Sheriff Custody [1106] | $185,091 | 787% |
| Bps - Benefit Plan Services [1015] | $185,091 | 787% |
| Cassidy Med Grp [1019] | $185,091 | 787% |
| Ets - Lifetrac Network [1103] | $185,091 | 787% |
| Multiplan [1058] | $185,091 | 787% |
| National Healthcare Solutions Inc [1100] | $185,091 | 787% |
| Private Healthcare Systems [1067] | $185,091 - $284,755 | 787% |
| Scripps Coastal Med Grp [1074] | $185,091 | 787% |
| Axa Assistance [1098] | $193,633 | 824% |
| Embassy Sponsored [1101] | $193,633 - $199,328 | 824% |
| Interplan [1045] | $199,328 | 848% |
| Beech Street [1012] | $213,566 | 909% |
| First Health [1032] | $213,566 | 909% |
| Pacific Foundation [1063] | $213,566 | 909% |
| Carnival Cruises [1018] | $227,804 | 969% |
| Alternate Kaiser Rad Onc [2089] | $284,755 | 1212% |
| Blue Shield Transplants [1113] | $284,755 | 1212% |
| Healthnet Transplants [1114] | $284,755 | 1212% |
| Olympus Managed Healthcare Inc [1102] | $284,755 | 1212% |