CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: HCA Florida Blake Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $29,356
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at HCA Florida Blake Hospital is $29,356. 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 1.25x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$29,356

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: $29,356 (125%)
Ins. Median: $29,356 (125% 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.

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
Sunshine State Health Plan $2,381 - $11,906 10%
Cigna $2,999 - $73,556 13%
Humana $3,817 - $33,425 16%
Avmed $3,998 - $79,119 17%
United $7,000 - $71,125 30%
Molina $11,098 - $30,809 47%
Aetna $11,377 - $29,356 48%
Wellmed $28,484 121%
Careplus $28,774 - $33,425 122%
Access 2 Healthcare Physicians Freedom Optimum Group Members $29,065 124%
Behealthy America $29,065 124%
Ultimate Health Plan $29,065 124%
United Va Ccn $29,065 124%
Access 2 Healthcare Physicians Freedom Health $29,356 125%
Access 2 Healthcare Physicians Optimum $29,356 125%
Blue Cross Blue Shield $29,356 - $81,522 125%
Freedom Health Care $29,356 125%
Optimum Healthcare $29,356 125%
Devoted Health $29,646 126%
Align Senior Care $29,937 127%
Florida Complete Care $29,937 127%
Simply Healthcare $30,518 - $148,252 130%
American Health Plan $30,809 131%
Clear Spring Health $31,100 132%
Secur $31,390 134%
Gold Kidney Of Florida $31,681 135%
Centurion $31,971 136%
Oscar $34,094 145%
Sunshine State $34,442 147%
Wellcare $34,442 147%
Ndms Definitive Care $36,331 155%
Evolutions Healthcare Systems $36,988 157%
Truli $65,261 - $78,010 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals