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 · HCPCS C1825 · OCALA, FL

C1825 — Gen, Neuro, Carot Sinus Baro

What each payer pays ADVENTHEALTH OCALA (CCN 100062) 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.

$131,288 All-payer median here
$103,376 Cash / self-pay here
25 payer/plan-name variants
← This hospital National rates for C1825 →
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
   
Zelis $226,674 72.7% 2
MultiPlan $219,118 66.9% 2
National_Healthcare_Solutions $163,709 24.7% 2
GMMI Inc $163,709 24.7% 2
PHCS (Private Healthcare Systems) $163,709 24.7% 2
UPMC Health Plan $159,432 21.4% 3
Plotkin $157,412 19.9% 2
Aetna $134,659 2.6% 19
Molina Healthcare $131,288 0.0% 1
Cigna Healthcare $131,288 0.0% 5
Devoted Health $131,288 0.0% 1
Florida Complete Care $131,288 0.0% 1
FREEDOM HEALTH PLAN $131,288 0.0% 1
HealthFirst_Plans $131,288 0.0% 1
Optimum $131,288 0.0% 1
Oscar Health $131,288 0.0% 1
Simply Healthcare Plans $131,288 0.0% 4
Sunshine Health $131,288 0.0% 3
WellCare Health Plans $131,288 0.0% 1
AvMed $128,600 -2.0% 4
Humana $100,275 -23.6% 7
UnitedHealthcare $100,240 -23.6% 18
HEALTH FIRST HEALTH PLANS NATIONAL $78,580 -40.1% 2
Advanced Medical Pricing Solutions (AMPS) $72,032 -45.1% 2
BCBS of Florida (Florida Blue) $29,979 -77.2% 15

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.