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 · GADSDEN, AL

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

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.

$59,212 All-payer median here
$76,975 Cash / self-pay here
12 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 $91,779 55.0% 2
EMPLOYER DIRECT HEALTHCARE $76,976 30.0% 2
TRICARE $76,613 29.4% 2
Humana $74,460 25.8% 4
Aetna $74,015 25.0% 4
Devoted Health $60,396 2.0% 2
SIMPRA ADVANTAGE INC. DOS AFTER 12/31/2022 $59,804 1.0% 2
Viva Health $59,212 0.0% 2
Cigna Healthcare $59,212 0.0% 4
Medicare (Generic) $59,212 0.0% 4
UnitedHealthcare $59,212 0.0% 6
Blue Cross Blue Shield Association $58,324 -1.5% 4

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.