CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: PAM Health Specialty Hospital at Heritage Valley

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,901
about 1.4× the $23,504 Medicare rate · typically $14,724–$52,088
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,574
About the fair price
about $2,327 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $32,901 This hospital $30,574

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $11,459 Priciest $30,574

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,901 (about 1.4× the $23,504 Medicare rate). PAM Health Specialty Hospital at Heritage Valley charges insurers about $30,574 — about the fair price. Located in Beaver, PA.

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 $31,189 - $46,055 133%
Aetnamajor $30,574 130%
Humanamajor $30,574 130%
Ambetter (Centene) $30,574 130%
AmeriHealth $30,574 130%
Geisinger $31,186 133%
Molina $30,574 130%
+ 2 smaller / regional plans $30,574
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: 1000 Dutch Ridge Rd, Beaver, PA 15009
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL