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 212 · CORAL GABLES, FL

212 — Hip & Femur Procedures Except Major Joint Age 0-17

What each payer pays CORAL GABLES HOSPITAL (CCN 100183) 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.

$89,131 All-payer median here
33 payer/plan-name variants
← This hospital National rates for 212 →
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
   
AmeriHealth Caritas $182,942 105.3% 2
Auto Insurance $170,179 90.9% 1
Centene $157,415 76.6% 1
AVMED ENCOUNTERS $148,907 67.1% 1
Imagine Health $142,808 60.2% 1
BCBS of Florida (Florida Blue) $127,428 43.0% 10
UnitedHealthcare $120,672 35.4% 4
Cigna Healthcare $119,833 34.4% 4
Naphcare Inc $116,790 31.0% 1
EMPLOYER DIRECT HEALTHCARE $106,362 19.3% 1
Self Pay/Uninsured $104,276 17.0% 1
TRICARE $104,208 16.9% 1
Oscar Health $102,703 15.2% 1
Molina Healthcare $101,323 13.7% 2
Bright Health $92,764 4.1% 2
Solis Health Plans Medicare $89,344 0.2% 1
Longevity Health Plan $88,918 -0.2% 1
Simply Healthcare Plans $87,592 -1.7% 1
HEALTHSUN HEALTH PLAN $87,592 -1.7% 1
DOCTORS HEALTHCARE PLANS, INC. $87,592 -1.7% 1
FREEDOM HEALTH PLAN $87,592 -1.7% 1
Florida Pace Centers $87,592 -1.7% 1
WellCare Health Plans $83,421 -6.4% 1
Devoted Health $83,421 -6.4% 1
Medicare (Generic) $83,421 -6.4% 1
Non-Contracted Medicare Hmo $83,421 -6.4% 1
Sunshine Health $83,421 -6.4% 1
Aetna $83,421 -6.4% 1
Leon Health Inc $83,388 -6.4% 1
Mmm Of Florida Medicare Advantage $81,753 -8.3% 1
Humana $80,501 -9.7% 3
AvMed $79,250 -11.1% 3
VA / CHAMPVA $71,742 -19.5% 2

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.