Spinal fusion, single level (inpatient stay)
Facility: Clark Regional Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $22,075 compared to the $26,448 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.83× fair market pricing.
One of the lower prices — 6 of 8 other KY hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.
A fair price for a Spinal fusion, single level (inpatient stay) is about $26,448 (about 1.1× the $23,504 Medicare rate). Clark Regional Medical Center charges insurers about $22,075, or about $52,209 in cash — below the fair price — a good deal. Located in Winchester, KY.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $3,196 | 14% |
| Blue Cross Blue Shieldmajor | $22,738 - $34,088 | 97% |
| Aetnamajor | $22,738 | 97% |
| Cignamajor | $22,075 | 94% |
| Humanamajor | $3,360 - $22,075 | 14% |
| Cigna HealthSpring | $22,075 | 94% |
| Medical Mutual | $22,075 | 94% |
| MVP Health Care | $22,075 | 94% |
| UniCare | $22,075 | 94% |
| WellCare | $22,075 | 94% |
| + 7 smaller / regional plans | $22,075 - $22,517 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Clark Regional Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other KY hospitals
- Georgetown Community Hospital · Georgetown $21,483
- Saint Joseph London · London $21,694
- Saint Joseph Hospital · Lexington $22,383
- Tristar Greenview Regional Hospital · Bowling Green $22,390
- Harrison Memorial Hospital · Cynthiana $22,989
- Frankfort Regional Medical Center · Frankfort $23,751
- Saint Joseph East · Lexington $23,844
- Mercy Health - Lourdes Hospital · Paducah $23,912
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Clark Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $47,380
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $47,380).
Self-Pay Cash Rate ($52,209) Beats Your Bill
Clark Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $52,209 (vs. $22,075 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $26,448 Fair BaseRate ($23,504 Medicare)
Your bill ($130,523) is $104,075 above the denoised Fair BaseRate ($26,448) and 5.6× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.