CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Pelham Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$36,337
about 1.5× the $23,504 Medicare rate · typically $26,276–$52,881
modeled estimate · not a bill or quote
What this hospital charges insurers
$50,098
Above the fair price
about $13,761 over the fair price · 2.1× Medicare
Medicare pays $23,504 Fair price $36,337 This hospital $50,098

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

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

Cheapest $18,320 Priciest $50,098

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $36,337 (about 1.5× the $23,504 Medicare rate). Pelham Medical Center charges insurers about $50,098 — above the fair price. Located in Greer, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $36,337. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $22,801 - $110,405 97%
Blue Cross Blue Shieldmajor $22,296 - $152,611 95%
Aetnamajor $23,023 98%
Cignamajor $23,687 - $97,429 101%
Humanamajor $22,137 94%
Devoted Health $22,801 97%
Health Net $98,366 419%
Molina $23,244 - $51,686 99%
SelectHealth $23,244 - $51,641 99%
WellCare $23,244 99%
+ 2 smaller / regional plans $23,244 - $78,353

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 250 Westmoreland Road, Greer, SC 29651
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals