CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Summerlin Hospital Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$29,194

about 1.2× the $23,504 Medicare rate · typically $22,861–$35,393

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,289

About the fair price

about $1,095 over the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $29,194 This hospital $30,289

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 1 charge more and 4 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 $29,194 (about 1.2× the $23,504 Medicare rate). Summerlin Hospital Medical Center charges insurers about $30,289 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$30,289	129%
Blue Cross Blue Shieldmajor	$30,289 - $58,585	129%
Aetnamajor	$30,289 - $53,006	129%
Cignamajor	$20,501 - $28,947	87%
Molina	$30,289	129%
SelectHealth	$30,289 - $58,155	129%
+ 5 smaller / regional plans	$28,623 - $69,937

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 Summerlin Hospital 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 Summerlin Hospital 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
Sunrise Hospital and Medical Center · Las Vegas $29,145
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.