Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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59565 — CPT 59565

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $2,311

Usually $27–$3,192 (25th–75th percentile) across 3 hospitals · 22 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 59565 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
ACMH HOSPITAL Outpatient Upmc Chip Upmc Chip $10.50 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Upmc Chip Upmc Chip $10.50 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Carelon/Beacon Beahvioral Health Carelon/Beacon Behavioral Health $15.00 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Carelon/Beacon Beahvioral Health Carelon/Beacon Behavioral Health $15.00 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Cigna Cigna $16.20 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Cigna Cigna $16.20 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United $17.40 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Unitedhealthcare Insurance Company United $17.40 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Inpatient Multiplan Multiplan $27.00 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Inpatient Multiplan Multiplan $27.00 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Pa Workers' Compensation Pa Workers Compensation $30.00 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Snf Episodic Bundle $30.00 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Tricare Tricare $30.00 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Pa Workers' Compensation Pa Workers Compensation $30.00 $30.00 $9.00 2026-05-14 MRF ↗
ACMH HOSPITAL Outpatient Highmark Highmark Mcr Snf Episodic Bundle $30.00 $30.00 $9.00 2026-05-23 MRF ↗
ACMH HOSPITAL Outpatient Tricare Tricare $30.00 $30.00 $9.00 2026-05-23 MRF ↗
FRANKLIN HOSPITAL Both Aetna Medicare Advantage $1,117.38 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Humana Default $2,250.00 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Cigna Default $2,372.03 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Health Alliance Medical Plans Default $2,554.00 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Healthlink Hmo Dos Gt 06302021 Hmo $2,554.00 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Great West Healthcare Il Default $2,681.70 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Aetna Default $2,873.25 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Meritain Default $2,873.25 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Blue Cross Blue Shield Of Il Medicaid Replacement $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Medicaid Illinois Medicaid Replacement $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Meridian Health Plan Of Il Mcd Dos Gt 06302021 Medicaid Replacement $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both United Healthcare Medicare Advantage $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Molina Healthcare Of Il Medicaid Replacement $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Cigna Medicare Advantage $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Wellcare Health Plan Inc Mcr Adv Medicare Advantage $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Alliance Coal Health Plan Default $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Health Alliance Medical Plans Mcr Adv Medicare Advantage $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Medicare A Il J6 Default $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
FRANKLIN HOSPITAL Both Aetna Better Health Of Il Illinicare Medicaid Replacement $3,192.50 $3,192.50 $2,394.38 2026-07-15 MRF ↗
DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility United Healthcare HMO/POS/PPO $4,344.00 — — 2026-04-30 MRF ↗