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 215 · MIAMI BEACH, FL

215 — Anesth Skull Repair/fract

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.

$81,792 All-payer median here
41 payer/plan-name variants
← This hospital National rates for 215 →
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 $270,842 231.1% 1
Centene $212,706 160.1% 1
UnitedHealthcare $194,757 138.1% 3
Molina Healthcare Of Florida $161,525 97.5% 1
BCBS of Florida (Florida Blue) $157,868 93.0% 4
Florida Healthcare Plus Medicare $117,969 44.2% 1
Oscar Health $115,559 41.3% 1
Bright Health $110,522 35.1% 1
AvMed $102,240 25.0% 3
Health Options Inc $102,052 24.8% 2
AIDS Healthcare Foundation MCO $98,307 20.2% 1
UnitedHealth Group, Inc. $92,102 12.6% 1
VA / CHAMPVA $90,295 10.4% 1
Medicare (Generic) $90,295 10.4% 1
ALIGN SENIOR CARE (FL) $86,511 5.8% 1
Florida Pace Centers $86,511 5.8% 1
Humana $85,724 4.8% 3
Leon Health Plans $84,151 2.9% 1
Leon Medical Center $82,889 1.3% 1
Bright Health Medicare $80,219 -1.9% 1
Centers for Medicare & Medicaid Services $78,646 -3.8% 1
GEHA (Government Employees Health Association) $78,646 -3.8% 1
Clear Spring Health $78,646 -3.8% 1
Healthnet Va Choice $78,646 -3.8% 1
Doctors Healthcare $78,646 -3.8% 1
Mmm Of Florida $78,646 -3.8% 1
Devoted Health $78,646 -3.8% 1
Solis Health $78,646 -3.8% 1
Longevity Health Medicare Hmo $78,646 -3.8% 1
Avmed Medicare Network $77,108 -5.7% 1
Mount Sinai Eldercare Pace $77,108 -5.7% 1
Msmc $73,664 -9.9% 1
HEALTHSUN HEALTH PLAN $70,781 -13.5% 1
Simply Healthcare Plan $70,781 -13.5% 1
Behavioral Services Network $66,849 -18.3% 1
Aetna $58,801 -28.1% 3
Dimension Health $36,000 -56.0% 1
Care Management Network $36,000 -56.0% 1
Corvel Healthcare $6,510 -92.0% 1
Aetna/Coventry Workers Comp $2,169 -97.3% 1
Careworks Workers Comp $2,055 -97.5% 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.