Spinal fusion, single level (inpatient stay)
Facility: Watsonville Community Hospital
Billing Code: 451 (MS-DRG)
- CPT Billing Code: 451
- Insurance Median: $36,525
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.55x 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 |
|---|---|---|
| Fireman's Fund Work Comp | $36,525 | 155% |
| Pinnacle Healthcare Uc | $36,525 | 155% |
| Liberty Mutual Work Comp | $36,525 | 155% |
| Western Growers Work Comp | $36,525 | 155% |
| Crawford & Co | $36,525 | 155% |
| Beta Healthcare Group | $36,525 | 155% |
| Secure Horizons | $36,525 | 155% |
| Alignment Health Plan | $36,525 | 155% |
| Blue Shield PPO | $36,525 - $81,086 | 155% |
| Fleming & Associates | $36,525 | 155% |
| UnitedHealthcare | $36,525 | 155% |
| Hartford Workers' Comp | $36,525 | 155% |
| Ace-Usa | $36,525 | 155% |
| U.S. Dept. of Labor | $36,525 | 155% |
| Secure Horizons Dign HMO | $36,525 | 155% |
| Gallagher Bassett Svcs | $36,525 | 155% |
| Miscellaneous Work Comp | $36,525 | 155% |
| Republic Idemnity W/Comp | $36,525 | 155% |
| Medicare (plans) | $36,525 | 155% |
| Keenan & Assoc Work Comp | $36,525 | 155% |
| Veterans Administration | $36,525 | 155% |
| Travelers Insurance | $36,525 | 155% |
| Kemper Group Workers Comp | $36,525 | 155% |
| Tricare | $36,525 | 155% |
| Health Net of California | $36,525 | 155% |
| Workers Comp | $36,525 | 155% |
| Nx Health Network | $76,703 | 326% |
| Kaiser Northern | $78,530 | 334% |
| Healthy Families | $81,086 | 345% |
| Bs Employee | $81,086 | 345% |
| Ufcw/Valley Clerks | $81,086 | 345% |
| United Agriculture | $81,086 | 345% |