Spinal fusion, single level (inpatient stay)
Facility: Labette Health
Billing Code: 451 (MS-DRG)
- CPT Billing Code: 451
- Insurance Median: $27,701
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.18x 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 |
|---|---|---|
| Uhccp | $12,779 | 54% |
| Medicaid / KanCare | $12,907 - $27,701 | 55% |
| Healthy Blue | $13,035 | 55% |
| Blue Cross Blue Shield | $27,701 | 118% |
| Wellcare | $27,701 | 118% |
| UnitedHealthcare | $27,701 | 118% |
| Humana | $27,701 | 118% |
| Kansas Superior Select | $28,532 | 121% |
| Ambetter / Centene | $31,856 | 136% |
| Montgomery County | $33,100 | 141% |
Consumer Guidance & Cost Commentary
For the procedure "Spinal fusion, single level (inpatient stay)" at Labette Health in Parsons, KS, the facility's negotiated rates range from $12,779 to $33,100 depending on the insurance plan. The lowest negotiated rate of $12,779 from Uhccp is significantly lower than the state average of $27,701, while the highest rate of $33,100 from Montgomery County exceeds the state average. The facility's median negotiated rate of $27,701 aligns closely with the state average, whereas the Medicare benchmark for this service is $23,503.93. Because commercial negotiated rates often include administrative overhead and vary by payer, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, provided the cash rate is lower than their specific plan's allowed amount.
To secure the most favorable payment, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling their visit, as these upfront fee reductions can bypass standard insurance billing cycles and administrative costs. It is important to request a formal waiver of insurance submission to ensure the hospital applies the cash discount rather than submitting a claim that could void the agreement. Additionally, if a patient receives an itemized bill, they should review it line-by-line to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through a written audit dispute. Given that Labette Health is a government-owned local facility, patients should also verify whether their specific insurance plan has a contract with the