CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: PAM Specialty Hospital of San Antonio

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$32,776
about 1.4× the $23,504 Medicare rate · typically $15,099–$50,910
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,006
About the fair price
about $1,770 under the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $32,776 This hospital $31,006

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 $31,006

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 $32,776 (about 1.4× the $23,504 Medicare rate). PAM Specialty Hospital of San Antonio charges insurers about $31,006 — about the fair price. Located in San Antonio, 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✓ Cigna AetnaHumanaKaiser 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 $31,006 132%
Blue Cross Blue Shieldmajor $31,006 132%
Cignamajor $31,006 132%
Ambetter (Centene) $31,006 132%
Baylor Scott & White $31,006 132%
Molina $31,006 132%
WellCare $31,006 132%
WellMed $31,006 132%
+ 9 smaller / regional plans $31,006 - $46,509
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5418 N Loop 1604 W, San Antonio, TX 78249
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL