CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ascension St Vincent's Clay County

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$30,649

about 1.3× the $23,504 Medicare rate · typically $20,111–$47,446

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,693

Below the fair price — a good deal

about $10,956 under the fair price · 0.8× Medicare

Medicare pays $23,504 Fair price $30,649 This hospital $19,693

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 $19,693

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 $30,649 (about 1.3× the $23,504 Medicare rate). Ascension St Vincent's Clay County charges insurers about $19,693 — below the fair price — a good deal. Located in Middleburg, 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	$19,500 - $19,683	83%
Blue Cross Blue Shieldmajor	$9,819 - $25,295	42%
Aetnamajor	$8,850 - $39,579	38%
Cignamajor	$14,800 - $23,700	63%
Humanamajor	$16,012 - $19,500	68%
Ambetter (Centene)	$36,683	156%
AvMed	$14,888 - $34,752	63%
Bright Health	$26,064	111%
Molina	$35,717	152%
Oscar Health	$30,891	131%
WellCare	$19,307	82%
+ 10 smaller / regional plans	$10,000 - $43,440

Government programs also on file: Medicare, Military & VA.

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 Ascension St Vincent's Clay County 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 Ascension St Vincent's Clay County

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.