CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Christus Ochsner St Patrick Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $18,785
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Christus Ochsner St Patrick Hospital is $18,785. 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 0.80x the Medicare baseline. Located in 524 Dr Michael Debakey Drive, Lake Charles, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,785

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: $18,785 (80%)
Ins. Median: $18,785 (80% 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.

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
Aetna $3,194 - $30,734 14%
Ppo Usa $3,849 16%
Vantage Health Plan Inc. $3,961 - $55,896 17%
Five Point Credit Union $4,190 - $10,056 18%
Ppoplus Llc $4,503 19%
Multiplan $9,371 40%
Phcs $9,371 40%
Triwest $18,409 78%
Arcadian $18,785 80%
Blue Cross Blue Shield $18,785 - $46,864 80%
Christus Health $18,785 - $26,299 80%
Coventry $18,785 80%
Humana $18,785 - $45,373 80%
UnitedHealthcare $18,785 - $30,798 80%
Vantage Health Plan Inc $18,785 80%
Dignity Health $19,348 82%
Peoples Health $19,348 82%
Wellcare $19,724 84%
Allyalign Health $20,663 88%
Medicare (plans) $20,663 88%
Lsu First Choice Verity $22,590 96%
Cigna $35,964 153%
Gilsbar Inc. $38,806 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 524 Dr Michael Debakey Drive, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals