CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: PAM Health Specialty Hospital of Jacksonville

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$37,280

about 1.6× the $23,504 Medicare rate · typically $15,241–$56,905

modeled estimate · not a bill or quote

What this hospital charges insurers

$31,529

Below the fair price — a good deal

about $5,751 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $37,280 This hospital $31,529

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $10,946 Priciest $31,529

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $37,280 (about 1.6× the $23,504 Medicare rate). PAM Health Specialty Hospital of Jacksonville charges insurers about $31,529 — below the fair price — a good deal. Located in Jacksonville, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$31,529	134%
Aetnamajor	$31,529	134%
Humanamajor	$30,899	131%
Simply Healthcare	$31,529	134%
+ 4 smaller / regional plans	$30,584 - $31,529

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 PAM Health Specialty Hospital of Jacksonville 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 PAM Health Specialty Hospital of Jacksonville

Compare: Spinal fusion, single level (inpatient stay) at other FL hospitals

Larkin Community Hospital · South Miami $10,946
Ascension St Vincent's St Johns County · St. Johns $16,012
Ascension Sacred Heart Bay · Panama City $18,512
Sacred Heart Hospital · Pensacola $19,000
Ascension Sacred Heart Gulf · Port Saint Joe $19,061
Sacred Heart Hospital on the Emerald Coast · Miramar Beach $19,069
Ascension St Vincent's Southside · Jacksonville $19,499
Ascension St Vincent's Riverside · Jacksonville $19,683

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