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 969 · MIAMI BEACH, FL

969 — HIV With Extensive O.r. Procedures 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.

$92,295 All-payer median here
36 payer/plan-name variants
← This hospital National rates for 969 →
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 $228,056 147.1% 1
Molina Healthcare Of Florida $189,293 105.1% 1
Florida Healthcare Plus Medicare $135,728 47.1% 1
Bright Health $118,509 28.4% 1
AvMed $117,631 27.5% 3
AIDS Healthcare Foundation MCO $113,107 22.5% 1
ALIGN SENIOR CARE (FL) $99,534 7.8% 1
Florida Pace Centers $99,534 7.8% 1
UnitedHealth Group, Inc. $98,758 7.0% 1
Humana $98,253 6.5% 2
BCBS of Florida (Florida Blue) $97,304 5.4% 4
Leon Health Plans $96,819 4.9% 1
VA / CHAMPVA $96,817 4.9% 1
Medicare (Generic) $96,817 4.9% 1
Leon Medical Center $95,367 3.3% 1
UnitedHealthcare $95,010 2.9% 1
Aetna $94,105 2.0% 1
Bright Health Medicare $92,295 0.0% 1
GEHA (Government Employees Health Association) $90,485 -2.0% 1
Healthnet Va Choice $90,485 -2.0% 1
Clear Spring Health $90,485 -2.0% 1
Devoted Health $90,485 -2.0% 1
Doctors Healthcare $90,485 -2.0% 1
Centers for Medicare & Medicaid Services $90,485 -2.0% 1
Longevity Health Medicare Hmo $90,485 -2.0% 1
Mmm Of Florida $90,485 -2.0% 1
Solis Health $90,485 -2.0% 1
Mount Sinai Eldercare Pace $88,710 -3.9% 1
Avmed Medicare Network $88,710 -3.9% 1
Health Options Inc $83,807 -9.2% 2
Simply Healthcare Plan $81,437 -11.8% 1
HEALTHSUN HEALTH PLAN $81,437 -11.8% 1
Behavioral Services Network $76,913 -16.7% 1
Corvel Healthcare $6,510 -92.9% 1
Aetna/Coventry Workers Comp $2,169 -97.6% 1
Careworks Workers Comp $2,055 -97.8% 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.