CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Christus Ochsner Lake Area Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $18,466
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Christus Ochsner Lake Area Hospital is $18,466. 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 0.79x the Medicare baseline. Located in 4200 Nelson Road, Lake Charles, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,466

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: $18,466 (79%)
Ins. Median: $18,466 (79% 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 $18,097 77%
Arcadian $18,466 79%
Blue Cross Blue Shield $18,466 - $41,325 79%
Christus Health $18,466 - $25,853 79%
Coventry $18,466 79%
Humana $18,466 - $45,373 79%
UnitedHealthcare $18,466 - $43,938 79%
Vantage Health Plan Inc $18,466 79%
Dignity Health $19,020 81%
Peoples Health $19,020 81%
Wellcare $19,390 82%
Allyalign Health $20,313 86%
Medicare (plans) $20,313 86%
Lsu First Choice Verity $22,590 96%
Cigna $36,683 156%
Gilsbar Inc. $38,806 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4200 Nelson Road, Lake Charles, LA 70605
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals