CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: USC Verdugo Hills Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $35,557
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at USC Verdugo Hills Hospital is $35,557. 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 1.51x the Medicare baseline. Located in 1812 Verdugo Blvd, Glendale, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$35,557

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: $35,557 (151%)

Ins. Median: $35,557 (151% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet	$31,435 - $31,696	134%
Aetna	$31,696 - $38,002	135%
Blue Cross Blue Shield	$31,696 - $116,905	135%
Blue Shield	$31,696	135%
Facey Medical Group	$31,696 - $38,035	135%
Kaiser Permanente	$31,696	135%
Pacific Pace	$31,696	135%
UnitedHealthcare	$31,696 - $52,378	135%
Providence Health Plan	$37,085 - $42,871	158%
Imperial Health	$39,734	169%
Cigna	$53,773	229%
Monarch Health Plan	$60,473 - $65,513	257%
Kaweah Delta Health Care	$67,888	289%
Health Plan Of Nevada/Sierra	$93,239	397%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 451.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USC Verdugo Hills Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 451.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.