CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Memorialcare Long Beach Medical Center

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $37,961
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Memorialcare Long Beach Medical Center is $37,961. 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 1.62x the Medicare baseline. Located in 2801 Atlantic Ave, Long Beach, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$37,961

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: $37,961 (162%)

Ins. Median: $37,961 (162% 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
Monarch Health Plan	$33,862 - $80,912	144%
Scan Health Plan	$34,575	147%
Aetna	$35,644 - $116,407	152%
Avanti Health System	$35,644	152%
Blue Cross Blue Shield	$35,644 - $97,863	152%
Blue Shield	$35,644	152%
Citizens Choice	$35,644	152%
Global Care Medical Group	$35,644 - $42,773	152%
Healthcare La	$35,644 - $42,773	152%
Healthcare Partners	$35,644 - $88,040	152%
Healthnet	$35,644 - $97,746	152%
Heritage Provider Network	$35,644	152%
Humana	$35,644	152%
La Care	$35,644 - $38,495	152%
Onecare	$35,644	152%
Preferred	$35,644	152%
St. Francis Medical Center	$35,644	152%
UnitedHealthcare	$35,644 - $109,105	152%
Wellcare	$35,644	152%
Molina	$36,713 - $57,743	156%
Alignment Health	$37,426	159%
Clever Care	$37,426	159%
Easy Choice	$37,426	159%
Select Health	$37,426 - $53,466	159%
Universal Care	$37,426	159%
Central Health	$39,208	167%
Cigna	$50,265 - $79,206	214%
Synermed	$53,466	227%
Centivo	$80,199	341%

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 Memorialcare Long Beach Medical Center 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.