CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Hendricks Regional Health

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $28,377
Cash Discount Price: $8,081
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Hendricks Regional Health is $28,377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,081. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.21x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$8,081

Average discount available for prompt cash payment at this facility.

Insurance Median

$28,377

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: $8,081 (34%)

Insurance Median: $28,377 (121%)

Cash: $8,081 (34% of Medicare)

Ins. Median: $28,377 (121% 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
Blue Cross Blue Shield	$14,039 - $55,466	60%
Encore Encircle Network	$14,142	60%
Aetna	$15,758 - $29,228	67%
Siho Commercial Network	$16,162	69%
Humana	$16,699 - $28,377	71%
Multiplan	$17,778	76%
Encore Health Network	$18,384	78%
Multiplan/Beech Street	$19,192	82%
Multiplan/ Complementary	$19,394	83%
Va Ccn	$28,377	121%
Caresource Exchange	$28,944	123%
Medicare (plans)	$28,944 - $29,796	123%
UnitedHealthcare	$44,292 - $49,545	188%
Ambetter / Centene	$56,754	241%
Sagamore Health Incumbent Program	$59,132	252%
Sagamorehealth Network	$62,243	265%
Cigna	$99,315	423%

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 $8,081.
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 Hendricks Regional Health 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.