CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Lexington Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,355
about 1.2× the $23,504 Medicare rate · typically $25,771–$44,230
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,325
About the fair price
about $30 under the fair price · 1.2× Medicare
Medicare pays $23,504 Fair price $29,355 This hospital $29,325

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $18,320 Priciest $29,325

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $29,355 (about 1.2× the $23,504 Medicare rate). Lexington Medical Center charges insurers about $29,325 — about the fair price. Located in West Columbia, SC.

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 $24,437 - $84,668 104%
Blue Cross Blue Shieldmajor $24,437 - $109,229 104%
Aetnamajor $26,148 111%
Cignamajor $95,367 406%
Humanamajor $25,903 110%
Ambetter (Centene) $58,649 250%
Molina $29,325 - $57,916 125%
WellCare $26,148 111%
+ 3 smaller / regional plans $25,659 - $127,728
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2720 Sunset Blvd, West Columbia, SC 29169
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals