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 212 · MIAMI BEACH, FL

212 — Anesth Skull Drainage

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.

$87,445 All-payer median here
39 payer/plan-name variants
← This hospital National rates for 212 →
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 $231,903 165.2% 1
Molina Healthcare Of Florida $176,402 101.7% 1
BCBS of Florida (Florida Blue) $172,409 97.2% 4
Humana $133,659 52.8% 2
Florida Healthcare Plus Medicare $128,596 47.1% 1
Bright Health $120,511 37.8% 1
AvMed $111,450 27.5% 3
Health Options Inc $111,372 27.4% 2
AIDS Healthcare Foundation MCO $107,163 22.5% 1
UnitedHealth Group, Inc. $100,426 14.8% 1
VA / CHAMPVA $98,452 12.6% 1
Medicare (Generic) $98,452 12.6% 1
Florida Pace Centers $94,303 7.8% 1
ALIGN SENIOR CARE (FL) $94,303 7.8% 1
Leon Health Plans $91,732 4.9% 1
Leon Medical Center $90,356 3.3% 1
UnitedHealthcare $90,017 2.9% 1
Bright Health Medicare $87,445 0.0% 1
Healthnet Va Choice $85,730 -2.0% 1
Solis Health $85,730 -2.0% 1
Mmm Of Florida $85,730 -2.0% 1
Clear Spring Health $85,730 -2.0% 1
Devoted Health $85,730 -2.0% 1
Centers for Medicare & Medicaid Services $85,730 -2.0% 1
Doctors Healthcare $85,730 -2.0% 1
GEHA (Government Employees Health Association) $85,730 -2.0% 1
Longevity Health Medicare Hmo $85,730 -2.0% 1
Mount Sinai Eldercare Pace $84,051 -3.9% 1
Avmed Medicare Network $84,051 -3.9% 1
Aetna $80,776 -7.6% 2
Simply Healthcare Plan $77,157 -11.8% 1
HEALTHSUN HEALTH PLAN $77,157 -11.8% 1
Msmc $76,664 -12.3% 1
Behavioral Services Network $72,871 -16.7% 1
Care Management Network $39,000 -55.4% 1
Dimension Health $39,000 -55.4% 1
Corvel Healthcare $6,510 -92.6% 1
Aetna/Coventry Workers Comp $2,169 -97.5% 1
Careworks Workers Comp $2,055 -97.6% 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.