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 212 · GADSDEN, AL

212 — Hip & Femur Procedures Except Major Joint Age 0-17

What each payer pays RIVERVIEW REGIONAL MEDICAL CENTER (CCN 010046) 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.

$66,768 All-payer median here
$86,798 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 212 →
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 $103,490 55.0% 2
EMPLOYER DIRECT HEALTHCARE $86,798 30.0% 2
Aetna $83,460 25.0% 4
Devoted Health $68,103 2.0% 2
SIMPRA ADVANTAGE INC. DOS AFTER 12/31/2022 $67,436 1.0% 2
Viva Health $66,768 0.0% 2
Cigna Healthcare $66,768 0.0% 4
Medicare (Generic) $66,768 0.0% 4
UnitedHealthcare $66,768 0.0% 6
Blue Cross Blue Shield Association $64,765 -3.0% 6
Humana $37,486 -43.9% 4
TRICARE $7,006 -89.5% 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.