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 453 · MIAMI BEACH, FL

453 — Combined Anterior And Posterior Spinal Fusion With Mcc

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.

$72,990 All-payer median here
37 payer/plan-name variants
← This hospital National rates for 453 →
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
   
BCBS of Florida (Florida Blue) $273,656 274.9% 4
Centene $189,773 160.0% 1
Health Options Inc $171,919 135.5% 2
Molina Healthcare Of Florida $143,752 96.9% 1
Humana $109,094 49.5% 2
Florida Healthcare Plus Medicare $105,274 44.2% 1
Bright Health $98,590 35.1% 1
AvMed $91,237 25.0% 3
AIDS Healthcare Foundation MCO $87,728 20.2% 1
UnitedHealth Group, Inc. $82,158 12.6% 1
VA / CHAMPVA $80,550 10.4% 1
Medicare (Generic) $80,550 10.4% 1
Florida Pace Centers $77,201 5.8% 1
ALIGN SENIOR CARE (FL) $77,201 5.8% 1
Leon Health Plans $75,095 2.9% 1
Leon Medical Center $73,969 1.3% 1
UnitedHealthcare $73,692 1.0% 1
Bright Health Medicare $71,586 -1.9% 1
Solis Health $70,183 -3.8% 1
GEHA (Government Employees Health Association) $70,183 -3.8% 1
Clear Spring Health $70,183 -3.8% 1
Healthnet Va Choice $70,183 -3.8% 1
Mmm Of Florida $70,183 -3.8% 1
Centers for Medicare & Medicaid Services $70,183 -3.8% 1
Devoted Health $70,183 -3.8% 1
Longevity Health Medicare Hmo $70,183 -3.8% 1
Doctors Healthcare $70,183 -3.8% 1
Avmed Medicare Network $68,814 -5.7% 1
Mount Sinai Eldercare Pace $68,814 -5.7% 1
Simply Healthcare Plan $63,164 -13.5% 1
HEALTHSUN HEALTH PLAN $63,164 -13.5% 1
Behavioral Services Network $59,655 -18.3% 1
Aetna $50,885 -30.3% 2
BeechStreet Corporation $35,000 -52.0% 1
Corvel Healthcare $6,510 -91.1% 1
Aetna/Coventry Workers Comp $2,169 -97.0% 1
Careworks Workers Comp $2,055 -97.2% 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.