Price Transparency 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 →

Payer comparison · OTHER 216 · DOTHAN, AL

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays SOUTHEAST HEALTH MEDICAL CENTER (CCN 010001) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$75,799 All-payer median here
14 payer/plan-name variants
← This hospital National rates for 216 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Naphcare $140,228 85.0% 1
Direct Connect Contracting $106,118 40.0% 1
Centene $102,817 35.6% 1
Cigna Healthcare $75,799 0.0% 1
Aetna $75,799 0.0% 1
BCBS of Florida (Florida Blue) $75,799 0.0% 1
Care Improvement Plus $75,799 0.0% 1
Viva Health $75,799 0.0% 1
WellCare Health Plans $75,799 0.0% 1
Security Health Plan of Wisconsin $75,799 0.0% 1
SIMPRA ADVANTAGE INC. DOS AFTER 12/31/2022 $75,799 0.0% 1
UnitedHealthcare $75,799 0.0% 3
BCBS of Alabama $72,009 -5.0% 1
Humana $64,589 -14.8% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.