CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: HCA Florida University Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $30,108
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at HCA Florida University Hospital is $30,108. 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 1.28x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$30,108

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: $30,108 (128%)

Ins. Median: $30,108 (128% 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
Humana	$2,497 - $28,508	11%
Avmed	$2,825 - $70,676	12%
United	$3,000 - $62,514	13%
Sunshine State Health Plan	$13,883	59%
Oscar	$26,308 - $30,836	112%
Wellmed	$28,218	120%
Blue Cross Blue Shield	$29,381 - $49,631	125%
Devoted Health	$29,672	126%
Aetna	$29,818 - $49,413	127%
Cigna	$29,963 - $37,976	127%
Health Sun Health Plan	$30,254	129%
Simply Healthcare Plans	$30,545	130%
Sunshine State	$30,545 - $31,999	130%
American Health Plan	$30,836	131%
Freedom Health	$30,836	131%
Molina	$30,836	131%
Amerihealth Caritas	$31,127 - $77,175	132%
Longevity Health Plan	$31,127	132%
Prominence Healthfirst	$31,127	132%
Align	$31,418	134%
Florida Complete Care	$31,418	134%
Doctors Healthcare Plan	$32,290	137%
Gold Kidney	$32,581	139%
Solis Health Plan	$33,163	141%
Ndms Definitive Care	$36,363	155%
Simply Healthcare	$133,560	568%

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 HCA Florida University 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.