Spinal fusion, single level (inpatient stay)
Facility: East Cooper Medical Center
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $25,038 compared to the $27,000 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Highest price of the 9 SC hospitals we have prices for — worth calling around.
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 $27,000 (about 1.1× the $23,504 Medicare rate). East Cooper Medical Center charges insurers about $25,038, or about $52,293 in cash — about the fair price. Located in Mount Pleasant, 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
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 | $24,084 - $107,007 | 102% |
| Blue Cross Blue Shieldmajor | $39,572 - $70,929 | 168% |
| Aetnamajor | $23,846 | 101% |
| Cignamajor | $24,561 - $54,412 | 104% |
| Humanamajor | $23,846 | 101% |
| Clover Health | $24,799 | 106% |
| Devoted Health | $23,846 | 101% |
| Molina | $24,322 - $34,576 | 103% |
| SelectHealth | $25,038 - $45,545 | 107% |
| + 1 smaller / regional plan | $23,846 - $41,730 |
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 East Cooper Medical Center
Compare: Spinal fusion, single level (inpatient stay) at other SC hospitals
- Anmed Health · Anderson $18,320
- Cannon Memorial Hospital · Pickens $18,691
- Colleton Medical Center · Walterboro $20,853
- MUSC Health Black River Medical Center · Cades $22,026
- McLeod Loris Hospital · Loris $22,279
- Cherokee Medical Center · Gaffney $23,127
- MUSC Health Florence Medical Center · Florence $24,371
- MUSC Health Marion Medical Center · Mullins $24,830
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at East Cooper Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $21,813
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 = $21,813).
Self-Pay Cash Rate ($52,293) Beats Your Bill
East Cooper Medical Center's published 45 CFR § 180 self-pay cash rate is $52,293 (vs. $25,038 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $27,000 Fair BaseRate ($23,504 Medicare)
Your bill ($60,091) is $33,091 above the denoised Fair BaseRate ($27,000) and 2.6× 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.