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 A9595 · SEBRING, FL

A9595 — Piflu F-18, Dia 1 Millicurie

What each payer pays ADVENTHEALTH SEBRING (CCN 100109) 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.

$296,700 All-payer median here
$190,040 Cash / self-pay here
23 payer/plan-name variants
← This hospital National rates for A9595 →
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 $427,589 44.1% 1
MultiPlan $399,083 34.5% 1
AvMed $388,156 30.8% 1
BeechStreet Corporation $380,079 28.1% 3
PHCS (Private Healthcare Systems) $356,324 20.1% 1
National_Healthcare_Solutions $332,569 12.1% 1
HealthOne_Alliance $332,569 12.1% 1
Aetna $308,814 4.1% 5
GMMI Inc $308,814 4.1% 1
Cigna Healthcare $300,738 1.4% 5
Plotkin $296,937 0.1% 2
UnitedHealthcare $295,511 -0.4% 9
UPMC Health Plan $154,714 -47.9% 2
HEALTH FIRST HEALTH PLANS NATIONAL $152,982 -48.4% 1
WellCare Health Plans $689 -99.8% 1
FREEDOM HEALTH PLAN $658 -99.8% 1
Sunshine Health $658 -99.8% 1
Devoted Health $658 -99.8% 1
Optimum $658 -99.8% 1
Simply Healthcare Plans $652 -99.8% 1
Humana $635 -99.8% 4
BCBS of Florida (Florida Blue) $634 -99.8% 1
HealthFirst_Plans $615 -99.8% 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.