CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$30,556

about 1.3× the $23,504 Medicare rate · typically $24,032–$35,381

modeled estimate · not a bill or quote

What this hospital charges insurers

$29,857

About the fair price

about $699 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $30,556 This hospital $29,857

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $10,946 Priciest $29,857

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $30,556 (about 1.3× the $23,504 Medicare rate). Central Florida Lake Monroe Hospital charges insurers about $29,857 — about the fair price. Located in Sanford, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$4,222 - $76,677	18%
Blue Cross Blue Shieldmajor	$27,666 - $81,784	118%
Aetnamajor	$28,077 - $47,419	119%
Cignamajor	$2,834 - $78,483	12%
Humanamajor	$8,698 - $31,227	37%
AvMed	$2,968 - $79,119	13%
Devoted Health	$27,940	119%
Molina	$13,318 - $29,035	57%
Oscar Health	$43,843	187%
Simply Healthcare	$162,943	693%
WellCare	$29,446	125%
WellMed	$26,844	114%
+ 20 smaller / regional plans	$11,736 - $51,764

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Central Florida Lake Monroe Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Central Florida Lake Monroe Hospital

Compare: Spinal fusion, single level (inpatient stay) at other FL hospitals

Larkin Community Hospital · South Miami $10,946
Ascension St Vincent's St Johns County · St. Johns $16,012
Ascension Sacred Heart Bay · Panama City $18,512
Sacred Heart Hospital · Pensacola $19,000
Ascension Sacred Heart Gulf · Port Saint Joe $19,061
Sacred Heart Hospital on the Emerald Coast · Miramar Beach $19,069
Ascension St Vincent's Southside · Jacksonville $19,499
Ascension St Vincent's Riverside · Jacksonville $19,683

Insurance negotiated median for the same procedure, sorted lowest first.