CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Columbus Regional Healthcare System

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $27,510
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Columbus Regional Healthcare System is $27,510. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $23,503.93, this hospital’s rate is 1.17x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$27,510

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%)
Insurance Median: $27,510 (117%)
Ins. Median: $27,510 (117% 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.

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
Troy $23,899 102%
UnitedHealthcare $23,899 - $29,256 102%
Va Communicare Care $23,899 102%
Wellcare $23,899 - $29,256 102%
Vaya Health $24,138 103%
Liberty $24,377 104%
Humana $24,616 105%
Aetna $24,855 106%
Devoted Health $24,855 106%
Cigna $25,094 107%
Blue Cross Blue Shield $26,020 111%
Alliance $29,000 123%
Amerihealth $29,256 124%
Apex Health $29,256 124%
Cardinal $29,256 124%
Carolina Complete Health $29,256 124%
Healthy Blue $29,256 124%
Partners $29,256 124%
Sandhills $29,256 124%
Trillium $29,256 124%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals