CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Frankfort Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$25,920

about 1.1× the $23,504 Medicare rate · typically $23,805–$28,830

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,774

About the fair price

about $2,146 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $25,920 This hospital $23,774

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 6 of 8 other KY hospitals charge less.

Cheapest $21,483 Priciest $23,912

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 $25,920 (about 1.1× the $23,504 Medicare rate). Frankfort Regional Medical Center charges insurers about $23,774 — about the fair price. Located in Frankfort, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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	$5,199 - $48,785	22%
Blue Cross Blue Shieldmajor	$19,019 - $52,930	81%
Aetnamajor	$22,585 - $23,536	96%
Cignamajor	$29,388	125%
Humanamajor	$3,627 - $23,774	15%
Devoted Health	$24,249	103%
Health Net	$28,185	120%
Molina	$22,585	96%
WellCare	$22,585 - $23,774	96%
+ 3 smaller / regional plans	$4,375 - $24,487

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Frankfort Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Frankfort 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
Clark Regional Medical Center · Winchester $22,075
Saint Joseph Hospital · Lexington $22,383
Tristar Greenview Regional Hospital · Bowling Green $22,390
Harrison Memorial Hospital · Cynthiana $22,989
Saint Joseph East · Lexington $23,844
Mercy Health - Lourdes Hospital · Paducah $23,912

Insurance negotiated median for the same procedure, sorted lowest first.