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 · OTHER 461 · MILTON, FL

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc

What each payer pays SANTA ROSA MEDICAL CENTER (CCN 100124) 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.

$103,880 All-payer median here
20 payer/plan-name variants
← This hospital National rates for 461 →
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
   
Blue Cross And Blue Shield Of Florida $134,052 29.0% 6
Aetna Asa $133,828 28.8% 1
UMR (UnitedHealthcare TPA) $119,067 14.6% 1
Self Pay $119,067 14.6% 1
Prime Health Services $119,067 14.6% 1
Aetna $114,708 10.4% 4
Oscar Health $108,845 4.8% 1
Sunshine Health Ambetter Marketplace $103,880 0.0% 1
Florida State Auto Insurance $86,929 -16.3% 1
BCBS of Florida (Florida Blue) $82,522 -20.6% 2
Cigna Healthcare $80,848 -22.2% 2
UnitedHealthcare $74,457 -28.3% 2
US Department of Labor (OWCP) $59,628 -42.6% 1
Geo Group $54,330 -47.7% 1
Hospice Of Nw Fl $43,464 -58.2% 1
VA / CHAMPVA $43,464 -58.2% 3
Centers for Medicare & Medicaid Services $42,630 -59.0% 2
WellCare Health Plans $42,630 -59.0% 1
Humana $42,203 -59.4% 2
TRICARE $15,207 -85.4% 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.