CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Slidell Memorial Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $25,750
Cash Discount Price: $13,970
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Slidell Memorial Hospital is $25,750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,970. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.10x the Medicare baseline. Located in 1001 Gause Blvd, Slidell, LA.

Cash / Self-Pay

$13,970

Average discount available for prompt cash payment at this facility.

Insurance Median

$25,750

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%)

Cash / Self-Pay: $13,970 (59%)

Insurance Median: $25,750 (110%)

Cash: $13,970 (59% of Medicare)

Ins. Median: $25,750 (110% 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
Blue Cross Blue Shield	$19,220 - $43,195	82%
Aetna	$20,208 - $31,292	86%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$20,208	86%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$20,208	86%
Humana	$20,208	86%
Medicare (plans)	$20,208	86%
Ochsner Health Plan	$20,208	86%
UnitedHealthcare	$20,208 - $43,460	86%
Healthcomp & Personify Health (Formerly Gilsbar)	$31,786	135%

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 $13,970.
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 Slidell Memorial 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.