Spinal fusion, single level (inpatient stay)
Facility: Doctors Hospital
Billing Code: 451 (MS-DRG)
- CPT Billing Code: 451
- Insurance Median: $23,252
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.99x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $2,992 - $25,794 | 13% |
| United | $3,120 - $27,456 | 13% |
| Kaiser Permanente | $3,894 | 17% |
| Blue Cross Blue Shield | $6,623 - $38,015 | 28% |
| Ambetter / Centene | $14,326 | 61% |
| United Hospice | $21,657 | 92% |
| Health Net | $22,112 | 94% |
| Alliance Hospice | $22,796 | 97% |
| Humana | $22,796 | 97% |
| Regency Hospice | $22,796 | 97% |
| Southeast Hospice | $22,796 | 97% |
| St Joseph Hospice | $22,796 | 97% |
| Aetna | $23,024 - $79,981 | 98% |
| Healthspring | $23,024 | 98% |
| Absolute Total Care | $23,252 | 99% |
| Coventry | $23,252 | 99% |
| Devoted Health | $23,252 | 99% |
| Wellcare | $23,252 | 99% |
| Clover | $23,480 | 100% |
| Georgia Assurance | $23,936 | 102% |
| Shared Health | $23,936 | 102% |
| Eon Health | $24,392 | 104% |
| Nhc Advantage | $24,392 | 104% |
| Pruitt Health | $24,392 | 104% |
| Americas 1St Choice | $24,848 | 106% |
| Health One Alliance | $25,197 | 107% |
| Qtc Medical Group | $27,356 | 116% |
| Centurion | $28,495 | 121% |
| Prime Health | $29,181 | 124% |
| Rockport United Network | $29,789 | 127% |
| Identity Mco | $30,397 | 129% |
| Friday Health | $38,636 | 164% |
| Multiplan | $57,818 | 246% |