CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Conway Regional Medical Center, Inc

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $20,541
Cash Discount Price: $14,665
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Conway Regional Medical Center, Inc is $20,541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,665. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 0.87x the Medicare baseline. Located in 2302 College Avenue, Conway, AR.

Cash / Self-Pay

$14,665

Average discount available for prompt cash payment at this facility.

Insurance Median

$20,541

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%)

Cash / Self-Pay: $14,665 (62%)

Insurance Median: $20,541 (87%)

Cash: $14,665 (62% of Medicare)

Ins. Median: $20,541 (87% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Occunet	$15,430	66%
Allwell	$20,027	85%
Blue Cross Blue Shield	$20,027 - $26,432	85%
Medipak	$20,027	85%
UnitedHealthcare	$20,027 - $28,758	85%
Usable	$20,027	85%
Wellmark	$20,227	86%
Humana	$20,237	86%
Aetna	$20,627	88%
Cigna	$20,627 - $29,071	88%
Ambetter / Centene	$24,163	103%
Coresource	$24,688	105%
Assured Benefits	$26,231	112%
Non Contracted	$26,432	112%
Qualchoice	$28,954	123%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $14,665.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 451.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Conway Regional Medical Center, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 451.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.