CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Sunrise Hospital and Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$28,409

about 1.2× the $23,504 Medicare rate · typically $22,433–$35,760

modeled estimate · not a bill or quote

What this hospital charges insurers

$29,145

About the fair price

about $736 over the fair price · 1.2× Medicare

Medicare pays $23,504 Fair price $28,409 This hospital $29,145

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NV hospitals compared.

Cheapest $25,272 Priciest $31,990

Black dot = this hospital, among the 9 NV hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,409 (about 1.2× the $23,504 Medicare rate). Sunrise Hospital and Medical Center charges insurers about $29,145 — about the fair price. Located in Las Vegas, NV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,592 - $34,275	15%
Blue Cross Blue Shieldmajor	$27,818 - $62,098	118%
Aetnamajor	$4,164 - $46,751	18%
Cignamajor	$4,327 - $74,083	18%
Humanamajor	$2,368 - $29,145	10%
Ambetter (Centene)	$27,818 - $52,461	118%
SelectHealth	$3,588 - $70,585	15%
+ 11 smaller / regional plans	$2,680 - $31,185

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Sunrise Hospital and Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sunrise Hospital and Medical Center

Compare: Spinal fusion, single level (inpatient stay) at other NV hospitals

Saint Rose Dominican Hospitals - San Martin Campus · Las Vegas $25,272
Saint Rose Dominican Hospitals - Siena Campus · Henderson $25,465
Northern Nevada Medical Center · Sparks $29,103
Summerlin Hospital Medical Center · Las Vegas $30,289
Spring Valley Hospital Medical Center · Las Vegas $30,289
Henderson Hospital · Henderson $30,289
West Henderson Hospital · Henderson $30,289
Mountainview Hospital · Las Vegas $31,990

Insurance negotiated median for the same procedure, sorted lowest first.