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 456 · MIAMI BEACH, FL

456 — Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions 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.

$69,310 All-payer median here
38 payer/plan-name variants
← This hospital National rates for 456 →
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 $180,186 160.0% 1
Molina Healthcare Of Florida $136,322 96.7% 1
BCBS of Florida (Florida Blue) $133,236 92.2% 4
UnitedHealthcare $131,468 89.7% 3
Humana $103,505 49.3% 2
Florida Healthcare Plus Medicare $99,967 44.2% 1
Bright Health $93,601 35.0% 1
AvMed $86,638 25.0% 3
Health Options Inc $86,264 24.5% 2
AIDS Healthcare Foundation MCO $83,306 20.2% 1
UnitedHealth Group, Inc. $78,001 12.5% 1
Medicare (Generic) $76,476 10.3% 1
VA / CHAMPVA $76,476 10.3% 1
Florida Pace Centers $73,309 5.8% 1
ALIGN SENIOR CARE (FL) $73,309 5.8% 1
Leon Health Plans $71,310 2.9% 1
Leon Medical Center $70,240 1.3% 1
Bright Health Medicare $67,977 -1.9% 1
Clear Spring Health $66,645 -3.8% 1
GEHA (Government Employees Health Association) $66,645 -3.8% 1
Centers for Medicare & Medicaid Services $66,645 -3.8% 1
Healthnet Va Choice $66,645 -3.8% 1
Solis Health $66,645 -3.8% 1
Devoted Health $66,645 -3.8% 1
Doctors Healthcare $66,645 -3.8% 1
Longevity Health Medicare Hmo $66,645 -3.8% 1
Mmm Of Florida $66,645 -3.8% 1
Mount Sinai Eldercare Pace $65,346 -5.7% 1
Avmed Medicare Network $65,346 -5.7% 1
HEALTHSUN HEALTH PLAN $59,980 -13.5% 1
Simply Healthcare Plan $59,980 -13.5% 1
Behavioral Services Network $56,648 -18.3% 1
Msmc $47,097 -32.0% 1
Aetna $38,577 -44.3% 3
BeechStreet Corporation $33,500 -51.7% 1
Corvel Healthcare $6,510 -90.6% 1
Aetna/Coventry Workers Comp $2,169 -96.9% 1
Careworks Workers Comp $2,055 -97.0% 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.