CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Baptist Memorial Hospital Union County

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $26,231
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Baptist Memorial Hospital Union County is $26,231. 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 1.12x the Medicare baseline. Located in 200 Hwy 30 West, New Albany, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$26,231

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: $26,231 (112%)
Ins. Median: $26,231 (112% 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
Blue Cross Blue Shield $3,897 17%
Mpcn $25,614 109%
Delta Industries $26,231 112%
French Camp Academy $26,231 112%
Hattiesburg Clinic $26,231 112%
Heartland Catfish Company $26,231 112%
Minact $26,231 112%
W G Yates $26,231 112%
First Choice Health Plan Of Ms $27,157 - $98,242 116%
UnitedHealthcare $28,795 - $42,457 123%
Advanced Health Systems Inc. $30,860 131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hwy 30 West, New Albany, MS 38652
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals