CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $29,632
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at HCA Florida Bayonet Point Hospital is $29,632. 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 1.26x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$29,632

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: $29,632 (126%)
Ins. Median: $29,632 (126% 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 $3,130 - $76,823 13%
Avmed $3,998 - $79,119 17%
Humana $5,089 - $33,739 22%
United $7,000 - $71,125 30%
Aetna $10,152 - $29,632 43%
Molina $11,098 - $31,099 47%
Careplus $28,752 - $33,739 122%
Wellmed $28,752 122%
Access 2 Healthcare Physicians Freedom Optimum Group Members $29,338 125%
Sunshine State $29,338 125%
Ultimate Health Plan $29,338 125%
United Va Ccn $29,338 125%
Wellcare $29,338 125%
Access 2 Healthcare Physicians Freedom Health $29,632 126%
Access 2 Healthcare Physicians Optimum $29,632 126%
Blue Cross Blue Shield $29,632 - $81,522 126%
Freedom Health Care $29,632 126%
Optimum Healthcare $29,632 126%
Devoted Health $29,925 127%
Simply Healthcare $30,805 - $130,889 131%
American Health Plan $31,099 132%
Align Senior Care $31,392 134%
Florida Complete Care $31,392 134%
Oscar $31,425 134%
Longevity Health Plan $31,686 135%
Secur $31,686 135%
Gold Kidney Of Florida $31,979 136%
Centurion $32,272 137%
Solis Health Plan $32,272 137%
Baycare Health Plans $33,152 141%
Ndms Definitive Care $36,673 156%
Evolutions Healthcare Systems $36,988 157%
Truli $68,199 - $78,010 290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14000 Fivay Rd, Hudson, FL 34667
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals