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 · CPT 004 · MIAMI BEACH, FL

004 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

What each payer pays MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC (CCN 100034) 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.

$134,257 All-payer median here
37 payer/plan-name variants
← This hospital National rates for 004 →
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
   
Miscellaneous Insurances $344,960 156.9% 1
Centene $337,799 151.6% 1
Molina Healthcare Of Florida $267,283 99.1% 1
BCBS of Florida (Florida Blue) $219,614 63.6% 4
Florida Healthcare Plus Medicare $191,435 42.6% 1
Humana $180,294 34.3% 2
Bright Health $175,611 30.8% 1
AvMed $165,911 23.6% 3
AIDS Healthcare Foundation MCO $159,530 18.8% 1
Health Options Inc $151,076 12.5% 2
UnitedHealth Group, Inc. $146,343 9.0% 1
VA / CHAMPVA $143,451 6.8% 1
Medicare (Generic) $143,451 6.8% 1
Florida Pace Centers $140,386 4.6% 1
ALIGN SENIOR CARE (FL) $140,386 4.6% 1
Leon Health Plans $136,557 1.7% 1
Leon Medical Center $134,509 0.2% 1
UnitedHealthcare $134,005 -0.2% 1
Aetna $132,729 -1.1% 1
Bright Health Medicare $130,176 -3.0% 1
Centers for Medicare & Medicaid Services $127,624 -4.9% 1
Longevity Health Medicare Hmo $127,624 -4.9% 1
Devoted Health $127,624 -4.9% 1
Doctors Healthcare $127,624 -4.9% 1
GEHA (Government Employees Health Association) $127,624 -4.9% 1
Clear Spring Health $127,624 -4.9% 1
Healthnet Va Choice $127,624 -4.9% 1
Mmm Of Florida $127,624 -4.9% 1
Solis Health $127,624 -4.9% 1
Avmed Medicare Network $125,106 -6.8% 1
Mount Sinai Eldercare Pace $125,106 -6.8% 1
Simply Healthcare Plan $114,861 -14.4% 1
HEALTHSUN HEALTH PLAN $114,861 -14.4% 1
Behavioral Services Network $108,480 -19.2% 1
Corvel Healthcare $6,510 -95.2% 1
Aetna/Coventry Workers Comp $2,169 -98.4% 1
Careworks Workers Comp $2,055 -98.5% 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.