CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $22,002
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Henry Ford Health West Bloomfield Hospital is $22,002. 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 0.94x the Medicare baseline. Located in 6777 West Maple Road, W Bloomfield, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$22,002

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: $22,002 (94%)

Ins. Median: $22,002 (94% 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
Pace Of Se Mi	$20,902	89%
Amerihealth Michigan	$21,562	92%
Bcn	$22,002	94%
Cca Health Michigan	$22,002	94%
Erickson	$22,002	94%
Hap	$22,002	94%
Hap Caresource	$22,002	94%
Mclaren Health	$22,002	94%
Molina Mi Health Link	$22,002	94%
Mount Carmel Health Plan	$22,002	94%
Priority Health	$22,002 - $43,522	94%
UnitedHealthcare	$22,002 - $52,505	94%
Wellcare	$22,002	94%
Humana	$22,442 - $28,148	95%
Aetna	$22,882 - $38,955	97%
Meridian Health Plan Of Mi	$29,703	126%
Molina	$29,703	126%
Vitalcore Physicians Group Of Mi	$40,704	173%
Blue Cross Blue Shield	$54,392 - $62,606	231%

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 $X.
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 Henry Ford Health West Bloomfield 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.