CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Palestine Regional Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,164
about 1.2× the $23,504 Medicare rate · typically $26,022–$33,052
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,956
About the fair price
about $1,208 under the fair price · 1.1× Medicare
Medicare pays $23,504 Fair price $27,164 This hospital $25,956

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $12,081 Priciest $25,956

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $27,164 (about 1.2× the $23,504 Medicare rate). Palestine Regional Medical Center charges insurers about $25,956 — about the fair price. Located in Palestine, TX.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $25,956 110%
Blue Cross Blue Shieldmajor $25,956 110%
Humanamajor $25,956 110%
Ambetter (Centene) $26,475 - $31,147 113%
Baylor Scott & White $25,956 110%
+ 1 smaller / regional plan $25,956

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Facility Profile & Credentials

  • Address: 2900 S Loop 256, Palestine, TX 75801
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals