CMS Price Transparency Data
Spinal fusion, single level (inpatient stay)
Facility: University Medical Center
Billing Code: 451 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 451
- Insurance Median: $31,294
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at University Medical Center is $31,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.33x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$31,294
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%)
Insurance Median: $31,294 (133%)
Ins. Median: $31,294 (133% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| American Postal Workers Health Plan | $2,925 - $31,294 | 12% |
| UnitedHealthcare | $2,925 - $34,156 | 12% |
| Las Vegas Sand Corps | $2,925 - $31,294 | 12% |
| Surest | $2,925 - $31,294 | 12% |
| Sierra Health and Life | $3,335 - $34,156 | 14% |
| California Ironwork Field Welfare | $3,337 | 14% |
| Blue Cross Blue Shield | $3,337 - $34,156 | 14% |
| Sheet Metal Workers | $3,337 | 14% |
| So Ca Pipe Trades H&W | $3,337 | 14% |
| Operating Engineers | $3,337 - $45,373 | 14% |
| Southwest Carpenters H&W | $3,337 | 14% |
| Kaiser | $4,224 - $26,028 | 18% |
| Great West Healthcare | $4,224 - $26,028 | 18% |
| Cirque De Soleil | $4,224 - $26,028 | 18% |
| National Security Technologies | $4,224 - $26,028 | 18% |
| Cigna | $4,224 - $26,028 | 18% |
| Beech Street | $4,455 | 19% |
| Aig | $4,455 | 19% |
| Aetna | $4,574 - $59,772 | 19% |
| Mail Handlers Benefit Plan | $4,574 | 19% |
| Nevada Energy | $4,574 | 19% |
| Coventry | $4,574 | 19% |
| One Health Plan | $4,856 | 21% |
| Hometown Health Plan of Nevada | $4,856 | 21% |
| Three Rivers Provider Network | $5,517 | 23% |
| First Health | $5,517 | 23% |
| Health Net | $5,517 | 23% |
| Arroweye Solutions | $8,572 | 36% |
| Pli Las Vegas | $8,572 | 36% |
| Golden Entertainment | $8,572 | 36% |
| Marshall Retail Group | $8,572 | 36% |
| Truline Corporation | $8,572 | 36% |
| Teacher's Health Trust | $8,572 | 36% |
| Rebel Oil Company | $8,572 | 36% |
| Venetian/Palazzo | $8,572 | 36% |
| State of Nevada | $8,572 | 36% |
| Stations Casinos | $8,572 | 36% |
| Golden Nugget Hotel & Casino | $8,572 | 36% |
| P3 Health Partners | $8,572 | 36% |
| Dignity Health | $8,572 | 36% |
| Allwell | $34,156 | 145% |
| Scan | $34,156 | 145% |
| P3 Health Partners Nevada | $34,156 | 145% |
| Advantra Freedom | $34,156 | 145% |
| Healthcare Partners of Nevada | $34,156 | 145% |
| Molina | $34,156 - $50,550 | 145% |
| Selecthealth | $34,156 - $50,550 | 145% |
| VA Pc3 (VA Choice) | $34,156 | 145% |
| Alignment Health | $34,156 | 145% |
| Switch | $45,373 | 193% |
| Teamsters Local 986 | $45,373 | 193% |
| Boyd Group | $45,373 | 193% |
| Wynn Resorts | $45,373 | 193% |
| Culinary Workers Hwf | $45,373 | 193% |
| Teamsters Local 14 | $45,373 | 193% |
| Nevada Hand | $45,373 | 193% |
| Clark County EPO | $45,373 | 193% |
| City of Henderson | $45,373 | 193% |
| Mirage Las Vegas | $45,373 | 193% |
| Ufcw Local 711 Retail Clerks | $45,373 | 193% |
| Cement Masons & Plasters H&W | $45,373 | 193% |
| Las Vegas Metro Police Dept | $45,373 | 193% |
| City of North Las Vegas | $45,373 | 193% |
| Clark County Self Funded | $45,373 | 193% |
| Plumbers & Pipefitters Loc 525 | $45,373 | 193% |
| Electrical Workers | $45,373 | 193% |
| Resorts World Las Vegas | $45,373 | 193% |
| Employee Painters Trust | $45,373 | 193% |
| Laborers Health and Welfare | $45,373 | 193% |
| Mgm Grand | $45,373 | 193% |
| Las Vegas Firefighters 1285 | $45,373 | 193% |
| Teamsters Local 631 | $45,373 | 193% |
| Bricklayers Local 13 | $45,373 | 193% |
| Caesar's Entertainment | $45,373 | 193% |
| Clark County Firefighters 1908 | $45,373 | 193% |
| Ambetter / Centene | $52,941 | 225% |
| Health Direct Partners | $54,991 | 234% |
| Jw Marriott | $68,311 | 291% |
| Universal Health Network (Uhn) | $68,311 | 291% |
| Prominence Health Plan | $68,311 | 291% |
| Nevada Preferred Professionals | $68,311 | 291% |