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 →

0409T — Insj/rplc Car Modulj Pls Gn

What each payer pays DOCTORS HOSPITAL (CCN 100296) 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.

$44,003 All-payer median here
$75,268 Cash / self-pay here
21 payer/plan-name variants
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
   
QUALITY HEALTH $104,217 136.8% 1
PHCS (Private Healthcare Systems) $104,217 136.8% 1
DIMENSION HEALTH PLAN $104,217 136.8% 3
AFFORDABLE $98,427 123.7% 1
INTERNATIONAL $75,268 71.1% 1
UnitedHealthcare $69,478 57.9% 8
AMERIHEALTH NEW JERSEY (NON-HMO) $52,109 18.4% 1
Cigna Healthcare $52,109 18.4% 4
BLUE CROSS $51,066 16.1% 7
AvMed $47,014 6.8% 5
Aetna $44,003 0.0% 7
NON CONTRACTED $42,498 -3.4% 1
Medicare (Generic) $27,758 -36.9% 4
LEON MEDICAL $26,016 -40.9% 2
Humana $25,319 -42.5% 2
Medica $24,854 -43.5% 1
VISTA $14,870 -66.2% 1
Sunshine Health $14,595 -66.8% 1
Medicaid (Generic) $14,457 -67.1% 2
WellCare Health Plans $14,457 -67.1% 1
Amerigroup $13,769 -68.7% 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.