CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Tampa General Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $39,142
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Tampa General Hospital is $39,142. 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 1.67x the Medicare baseline. Located in 1 Tampa General Cir, Tampa, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$39,142

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: $39,142 (167%)

Ins. Median: $39,142 (167% 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
Freedom Health	$24,764 - $31,662	105%
Capital Health Plan Tallahassee	$31,041	132%
Aetna	$31,352 - $74,781	133%
Care Plus Health Plans	$31,538	134%
Blue Cross Blue Shield	$31,547 - $85,930	134%
Humana	$31,662	135%
Molina Healthcare	$31,662	135%
Optimum Healthcare	$31,662	135%
UnitedHealthcare	$31,662 - $62,771	135%
Wellmed	$31,662	135%
Baycare	$31,973	136%
Wellcare	$31,973	136%
Ultimate Health Plans	$32,593	139%
Simply Healthcare	$32,904 - $52,149	140%
Cigna	$33,214 - $77,117	141%
Sunshine Health	$33,214 - $49,666	141%
Longevity	$33,835	144%
Kaiser	$34,145	145%
Devoted Health	$34,766	148%
Global Excel Management	$37,250 - $46,562	158%
Truli For Health	$40,354	172%
Molina	$46,562	198%
Employers Health Network	$47,533	202%
Avmed	$48,635 - $55,069	207%
Health First Health Plans	$55,874	238%
Oscar	$58,865	250%

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 Tampa General 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.