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 · TUCSON, AZ

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

What each payer pays NORTHWEST MEDICAL CENTER (CCN 030085) 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.

$85,432 All-payer median here
26 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
   
Coventry Medical Center $182,285 113.4% 1
Seven Corners $175,599 105.5% 1
Node Fusion Network $149,383 74.9% 1
Node J Allen Inmate Health Svcs $131,651 54.1% 1
Cigna Healthcare $124,740 46.0% 4
Node Health Choice Health Exchange $121,996 42.8% 1
US Department of Labor (OWCP) $112,330 31.5% 1
BCBS of Arizona $109,828 28.6% 4
Centene $109,349 28.0% 1
UnitedHealthcare $101,457 18.8% 5
Health Net $101,007 18.2% 1
Aetna $97,686 14.3% 4
Magellan Health $85,432 0.0% 1
Clover Health $83,821 -1.9% 1
PGBA TRIWEST VA CCN $83,045 -2.8% 1
Pascua Yaqui Tribe $82,161 -3.8% 1
WellCare Health Plans $78,596 -8.0% 1
Node Banner Mcr Adv $78,596 -8.0% 1
SCAN Group $78,596 -8.0% 1
Centers for Medicare & Medicaid Services $78,110 -8.6% 2
Devoted Health $77,100 -9.8% 1
Fresenius Health $76,352 -10.6% 1
Anthem (Elevance Health) $74,855 -12.4% 1
Humana $74,453 -12.9% 1
VA / CHAMPVA $50,174 -41.3% 2
TRICARE $13,280 -84.5% 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.