CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Specialty Hospital of Texarkana North

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$24,431
about 1.7× the $14,044 Medicare rate · typically $12,131–$47,449
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,589
Above the fair price
about $9,158 over the fair price · 2.4× Medicare
Medicare pays $14,044 Fair price $24,431 This hospital $33,589

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 $8,277 Priciest $33,589

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

A fair price for a Hip or knee replacement (inpatient stay) is about $24,431 (about 1.7× the $14,044 Medicare rate). PAM Specialty Hospital of Texarkana North charges insurers about $33,589 — above the fair price. Located in Texarkana, TX.

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 $24,431. 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 $33,589 239%
Blue Cross Blue Shieldmajor $33,589 239%
Aetnamajor $33,589 239%
Cignamajor $33,589 239%
Humanamajor $33,589 239%
Ambetter (Centene) $33,589 239%
WellCare $33,589 239%
+ 7 smaller / regional plans $33,589 - $50,383
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 2400 St Michael Dr 2Nd Floor, Texarkana, TX 75503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL