CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Health Specialty Hospital of Oklahoma City

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$33,323
about 2.4× the $14,044 Medicare rate · typically $12,722–$48,427
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,121
About the fair price
about $2,202 under the fair price · 2.2× Medicare
Medicare pays $14,044 Fair price $33,323 This hospital $31,121

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $9,928 Priciest $31,121

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

A fair price for a Hip or knee replacement (inpatient stay) is about $33,323 (about 2.4× the $14,044 Medicare rate). PAM Health Specialty Hospital of Oklahoma City charges insurers about $31,121 — about the fair price. Located in Oklahoma City, OK.

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✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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 $28,009 - $32,055 199%
Cignamajor $31,121 222%
Humanamajor $29,565 211%
Ambetter (Centene) $31,121 222%
+ 2 smaller / regional plans $31,121
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1407 N Robinson Ave, Oklahoma City, OK 73103
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL