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 →

Payer comparison · HCPCS C9765 · MONTGOMERY, AL

C9765 — Hc Revasc Intra Lithotrip-stent

What each payer pays JACKSON HOSPITAL & CLINIC INC (CCN 010024) 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.

$19,181 All-payer median here
$7,189 Cash / self-pay here
33 payer/plan-name variants
← This hospital National rates for C9765 →
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
   
Seven Corners Bureau Of Prisons Division $19,577 2.1% 1
First Health Network $19,181 0.0% 1
ALLEGIANCE BENEFIT PLAN MANAGEMENT $19,181 0.0% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $19,181 0.0% 1
GEHA (Government Employees Health Association) $19,181 0.0% 1
GOLDEN RULE INSURANCE $19,181 0.0% 1
Health Choice $19,181 0.0% 2
Aetna $19,181 0.0% 3
Cigna Healthcare $19,181 0.0% 2
UMR (UnitedHealthcare TPA) $19,181 0.0% 1
UnitedHealthcare $19,181 0.0% 3
CORVEL $19,181 0.0% 1
Viva Health $19,181 0.0% 2
Viva Uab Health Claims $19,181 0.0% 2
MAIL HANDLERS BENEFIT PLAN $19,181 0.0% 1
Long Term Hospital Of Montgomery $19,181 0.0% 1
Advantra Freedom $15,662 -18.3% 1
WellCare Health Plans $15,662 -18.3% 1
BCBS of Mississippi $15,662 -18.3% 1
Blue Advantage Ab Do Not Use $15,662 -18.3% 1
Centers for Medicare & Medicaid Services $15,662 -18.3% 1
FREEDOM HEALTH PLAN $15,662 -18.3% 1
HEALTH PLAN SERVICES $15,662 -18.3% 1
HEALTHSPRING $15,662 -18.3% 1
Humana $15,662 -18.3% 5
Medicare (Generic) $15,662 -18.3% 2
Medicare Hmo Bc Out Of State $15,662 -18.3% 1
OPTIMA INSURANCE $15,662 -18.3% 1
Optimum Healthcare $15,662 -18.3% 1
Preferred Care Usa Care $15,662 -18.3% 1
Rac And Mac $15,662 -18.3% 1
SIMPRA ADVANTAGE INC. DOS AFTER 12/31/2022 $15,662 -18.3% 1
Universal Healthcare $15,662 -18.3% 1

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.