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 007 · MIAMI BEACH, FL

007 — Lung Transplant

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.

$324,283 All-payer median here
35 payer/plan-name variants
← This hospital National rates for 007 →
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
   
Centene $788,536 143.2% 1
Molina Healthcare Of Florida $680,268 109.8% 1
Florida Healthcare Plus Medicare $486,425 50.0% 1
AvMed $421,568 30.0% 3
Bright Health $410,141 26.5% 1
AIDS Healthcare Foundation MCO $405,354 25.0% 1
Florida Pace Centers $356,712 10.0% 1
ALIGN SENIOR CARE (FL) $356,712 10.0% 1
Leon Health Plans $346,983 7.0% 1
UnitedHealth Group, Inc. $341,784 5.4% 1
Leon Medical Center $341,778 5.4% 1
Aetna $337,255 4.0% 1
Medicare (Generic) $334,983 3.3% 1
VA / CHAMPVA $334,983 3.3% 1
Bright Health Medicare $330,769 2.0% 1
Doctors Healthcare $324,283 0.0% 1
GEHA (Government Employees Health Association) $324,283 0.0% 1
Centers for Medicare & Medicaid Services $324,283 0.0% 1
Clear Spring Health $324,283 0.0% 1
Devoted Health $324,283 0.0% 1
Healthnet Va Choice $324,283 0.0% 1
Longevity Health Medicare Hmo $324,283 0.0% 1
Mmm Of Florida $324,283 0.0% 1
Solis Health $324,283 0.0% 1
Avmed Medicare Network $317,832 -2.0% 1
Mount Sinai Eldercare Pace $317,832 -2.0% 1
HEALTHSUN HEALTH PLAN $291,855 -10.0% 1
Simply Healthcare Plan $291,855 -10.0% 1
Humana $280,268 -13.6% 2
Behavioral Services Network $275,641 -15.0% 1
BCBS of Florida (Florida Blue) $266,515 -17.8% 4
Health Options Inc $243,728 -24.8% 2
Corvel Healthcare $6,510 -98.0% 1
Aetna/Coventry Workers Comp $2,169 -99.3% 1
Careworks Workers Comp $2,055 -99.4% 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.