CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Specialty Hospital of Tulsa

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$29,276
about 2.1× the $14,044 Medicare rate · typically $12,473–$47,469
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,889
About the fair price
about $613 over the fair price · 2.1× Medicare
Medicare pays $14,044 Fair price $29,276 This hospital $29,889

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 $29,889

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 $29,276 (about 2.1× the $14,044 Medicare rate). PAM Specialty Hospital of Tulsa charges insurers about $29,889 — about the fair price. Located in Tulsa, OK.

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 $26,900 - $30,786 192%
Aetnamajor $29,889 213%
Cignamajor $29,889 213%
Humanamajor $28,394 202%
Ambetter (Centene) $29,889 213%
WellCare $29,889 213%
+ 4 smaller / regional plans $29,889 - $31,383
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: 3219 S 79Th East Ave, Tulsa, OK 74145
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL