Payer comparison · OTHER 216 · FOLEY, AL

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

What each payer pays BALDWIN HEALTH (CCN 010083) 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.

$68,525 All-payer median here

21 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

US Department of Labor (OWCP)	$103,447	51.0%	1
Cigna Healthcare	$93,954	37.1%	3
Centene	$84,559	23.4%	2
Clover Health	$77,092	12.5%	1
Devoted Health	$76,332	11.4%	1
VA / CHAMPVA	$76,328	11.4%	3
PGBA TRIWEST VA CCN	$74,802	9.2%	1
UnitedHealthcare	$72,148	5.3%	3
Centers for Medicare & Medicaid Services	$70,845	3.4%	2
WellCare Health Plans	$69,000	0.7%	1
SelectHealth	$67,522	-1.5%	1
Windsor Health Plan	$66,854	-2.4%	1
Humana	$66,329	-3.2%	1
BCBS of Alabama	$64,386	-6.0%	1
Aetna	$35,151	-48.7%	2
TRICARE	$11,139	-83.7%	1
Alabama Wc	$1,520	-97.8%	1
Novanet	$1,444	-97.9%	1
Coventry Workers' Compensation	$1,398	-98.0%	1
MultiPlan	$1,368	-98.0%	1
Alameda Alliance for Health	$1,292	-98.1%	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.