CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Ochsner LSU Health Monroe

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$27,845

about 1.2× the $23,504 Medicare rate · typically $24,708–$32,928

modeled estimate · not a bill or quote

What this hospital charges insurers

$24,528

Below the fair price — a good deal

about $3,317 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $27,845 This hospital $24,528

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $19,309 Priciest $24,528

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $27,845 (about 1.2× the $23,504 Medicare rate). Ochsner LSU Health Monroe charges insurers about $24,528 — below the fair price — a good deal. Located in Monroe, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$24,528	104%
Blue Cross Blue Shieldmajor	$21,736 - $30,996	92%
Aetnamajor	$24,528	104%
Humanamajor	$24,528	104%
Health Net	$21,648	92%
+ 1 smaller / regional plan	$24,528

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Ochsner LSU Health Monroe 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 Ochsner LSU Health Monroe

Compare: Spinal fusion, single level (inpatient stay) at other LA hospitals

St Tammany Parish Hospital · Covington $19,309
Christus Ochsner Lake Area Hospital · Lake Charles $19,851
Christus Ochsner St Patrick Hospital · Lake Charles $20,194
Winn Parish Medical Center · Winnfield $20,395
Claiborne Memorial Medical Center · Homer $20,517
Lafayette Surgical Specialty Hospital · Lafayette $20,717
Christus St Frances Cabrini Hospital · Alexandria $20,809
Cypress Pointe Surgical Hospital · Hammond $20,930

Insurance negotiated median for the same procedure, sorted lowest first.