CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Jefferson Stratford Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $33,455
Cash Discount Price: $34,289
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Jefferson Stratford Hospital is $33,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34,289. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.42x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$34,289

Average discount available for prompt cash payment at this facility.

Insurance Median

$33,455

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: $34,289 (146%)

Insurance Median: $33,455 (142%)

Cash: $34,289 (146% of Medicare)

Ins. Median: $33,455 (142% 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
Point of Comfort Refugee Resettlement	$30,693	131%
Inspira Life	$30,693	131%
Medicare (plans)	$30,693 - $31,631	131%
St Agnes	$30,693	131%
UnitedHealthcare	$30,693 - $33,148	131%
Tricare	$30,693	131%
Innovage	$31,307	133%
Aetna	$31,307 - $71,084	133%
Humana	$31,307	133%
Cigna	$31,921 - $67,199	136%
Devoted Health Participation	$32,228	137%
Blue Cross Blue Shield	$32,407 - $40,202	138%
Provider Partners Health Plan	$32,841	140%
Allwell PA Health_Wellness Ma	$33,762	144%
Highmark Wholecare Gateway	$33,762	144%
Geisinger Health Plan	$34,403 - $96,734	146%
Ibc Employee Benefit	$38,366	163%
Ibc Main Line Health	$38,366	163%
Ambetter / Centene	$39,190	167%
Jeff Nj Amerihealth_Ibc	$47,690 - $56,841	203%
Highmark	$48,897 - $60,586	208%
Naphcare	$49,109	209%

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 $34,289.
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 Jefferson Stratford 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.