Payer comparison · CDM 5039342 · JACKSONVILLE, FL

5039342 — Insrt/rplc Subcutaneous Icd 33270

What each payer pays ASCENSION ST VINCENT'S RIVERSIDE (CCN 100040) 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.

$51,328 All-payer median here

$54,261 Cash / self-pay here

20 payer/plan-name variants

← This hospital National rates for 5039342 →

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

HEARTLAND HOME HEALTH AND HOSPICE	$146,651	185.7%	1
CDM DEFAULT - NON-NEGOTIATED RATE	$146,651	185.7%	1
BeechStreet Corporation	$124,653	142.9%	1
MultiPlan	$117,321	128.6%	1
Coventry Workers' Compensation	$95,323	85.7%	1
PHCS (Private Healthcare Systems)	$87,990	71.4%	1
SE GEORGIA HEALTH SYSTEMS	$87,990	71.4%	1
First Health Network	$87,990	71.4%	1
UnitedHealthcare	$83,591	62.9%	2
90 Degree Benefits	$73,325	42.9%	1
COVENTRY HEALTH CARE OF GEORGIA	$72,592	41.4%	2
Cigna Healthcare	$54,261	5.7%	3
Northwell Direct	$51,328	0.0%	1
AIDS Healthcare Foundation MCO	$48,395	-5.7%	1
AvMed	$46,928	-8.6%	2
Aetna	$43,223	-15.8%	2
Humana	$41,062	-20.0%	2
Georgia Medicaid (DCH)	$29,330	-42.9%	1
NORTH FLORIDA SURGEONS	$10,000	-80.5%	1
BCBS of Florida (Florida Blue)	$1,098	-97.9%	7

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.