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 · HCPCS 12044 · WETUMPKA, AL

12044 — Intmd Rpr N-hf/genit7.6-12.5

What each payer pays ELMORE COMMUNITY HOSPITAL (CCN 010097) 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.

$101 All-payer median here
$697 Cash / self-pay here
8 payer/plan-name variants
← This hospital National rates for 12044 →
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
   
Palmetto GBA $422 318.3% 2
Aetna $422 318.3% 2
Medicaid Alabama $422 318.3% 2
SIMPRA ADVANTAGE INC. DOS AFTER 12/31/2022 $102 1.0% 2
Humana $100 -1.0% 2
UnitedHealthcare $100 -1.0% 2
VA COMMUNITY CARE NETWORK REGION 1 $100 -1.0% 2
VIVA Health Plan MCR Adv $95 -5.9% 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.