CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$36,654

about 1.6× the $23,504 Medicare rate · typically $15,095–$53,098

modeled estimate · not a bill or quote

What this hospital charges insurers

$32,053

Below the fair price — a good deal

about $4,601 under the fair price · 1.4× Medicare

Medicare pays $23,504 Fair price $36,654 This hospital $32,053

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $25,272 Priciest $32,053

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $36,654 (about 1.6× the $23,504 Medicare rate). PAM Health Specialty Hospital of Reno charges insurers about $32,053 — below the fair price — a good deal. Located in Reno, NV.

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	$32,053	136%
Aetnamajor	$32,053	136%
Humanamajor	$32,053	136%
Molina	$35,258	150%
SelectHealth	$32,053	136%
+ 9 smaller / regional plans	$32,053 - $40,066

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 Reno 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 Reno

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

Saint Rose Dominican Hospitals - San Martin Campus · Las Vegas $25,272
Saint Rose Dominican Hospitals - Siena Campus · Henderson $25,465
Northern Nevada Medical Center · Sparks $29,103
Sunrise Hospital and Medical Center · Las Vegas $29,145
Summerlin Hospital Medical Center · Las Vegas $30,289
Spring Valley Hospital Medical Center · Las Vegas $30,289
Henderson Hospital · Henderson $30,289
West Henderson Hospital · Henderson $30,289

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