Spinal fusion, single level (inpatient stay)
Facility: West Chester Hospital
Billing Code: 451 (MS-DRG)
- CPT Billing Code: 451
- Insurance Median: $32,603
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.39x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $23,288 - $45,177 | 99% |
| Blue Cross Blue Shield | $23,288 - $75,727 | 99% |
| Devoted Health | $23,288 | 99% |
| Humana | $23,288 | 99% |
| Medical Mutual | $23,288 | 99% |
| Molina Healthcare | $23,288 - $32,603 | 99% |
| Paramount | $23,288 | 99% |
| UnitedHealthcare | $23,288 - $46,275 | 99% |
| Usa Mco | $23,288 | 99% |
| Caresource | $23,521 - $30,274 | 100% |
| Perennial Advantage | $23,754 | 101% |
| Buckeye Health Plan | $24,452 - $32,603 | 104% |
| Communicare Advantage | $25,617 | 109% |
| Oscar | $35,534 | 151% |
| Cincinnati Public Library | $44,014 | 187% |
| Cronin Automotive | $44,014 | 187% |
| Great Parks Of Hamilton County | $44,014 | 187% |
| Green Township | $44,014 | 187% |
| Health Ohio Network | $44,014 | 187% |
| Madtree Brewing | $44,014 | 187% |
| Magellan Health | $44,014 | 187% |
| Ohio Valley Goodwill | $44,014 | 187% |
| Skilled Care Pharmacy | $44,014 | 187% |
| Springfield Township | $44,014 | 187% |
| Stock Material Handling Systems | $44,014 | 187% |
| Watson Gravel | $44,014 | 187% |