CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Columbus Regional Hospital

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 451
Insurance Median: $26,856
Cash Discount Price: $67,580
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Columbus Regional Hospital is $26,856. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67,580. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.14x the Medicare baseline. Located in 2400 E 17Th St, Columbus, IN.

Cash / Self-Pay

$67,580

Average discount available for prompt cash payment at this facility.

Insurance Median

$26,856

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: $67,580 (288%)

Insurance Median: $26,856 (114%)

Cash: $67,580 (288% of Medicare)

Ins. Median: $26,856 (114% 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
Aetna	$26,856	114%
Ambetter / Centene	$26,856	114%
Blue Cross Blue Shield	$26,856	114%
Caresource Commercial	$26,856	114%
Humana	$26,856	114%
Medicare (plans)	$26,856	114%
UnitedHealthcare	$26,856	114%

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 $67,580.
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 Columbus Regional Hospital 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.