CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: PAM Specialty Hospital of Rocky Mount LLC

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$35,929

about 1.5× the $23,504 Medicare rate · typically $13,715–$54,333

modeled estimate · not a bill or quote

What this hospital charges insurers

$31,102

Below the fair price — a good deal

about $4,827 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $35,929 This hospital $31,102

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $20,910 Priciest $31,102

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $35,929 (about 1.5× the $23,504 Medicare rate). PAM Specialty Hospital of Rocky Mount LLC charges insurers about $31,102 — below the fair price — a good deal. Located in Rocky Mount, NC.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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	$31,102 - $48,209	132%
Aetnamajor	$31,102 - $48,209	132%
Cignamajor	$31,102	132%
Humanamajor	$31,102	132%
WellCare	$31,102	132%
+ 2 smaller / regional plans	$30,169 - $31,102

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 Specialty Hospital of Rocky Mount LLC 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 Specialty Hospital of Rocky Mount LLC

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

Haywood Regional Medical Center · Clyde $20,910
Frye Regional Medical Center · Hickory $20,986
Sentara Albemarle Medical Center · Elizabeth City $22,776
Hugh Chatham Memorial Hospital · Elkin $24,306
Ecu Health North Hospital · Roanoke Rapids $24,941
Vidant Roanoke Chowan Hospital · Ahoskie $25,525
Vidant Edgecombe Hospital · Tarboro $26,687
The McDowell Hospital · Marion $26,838

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