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 →

0571T — Insj/rplcmt Icds Ss Eltrd

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.

$49,641 All-payer median here
$86,390 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 $119,616 141.0% 1
DIMENSION HEALTH PLAN $119,616 141.0% 3
PHCS (Private Healthcare Systems) $119,616 141.0% 1
AFFORDABLE $112,971 127.6% 1
UnitedHealthcare $79,744 60.6% 8
INTERNATIONAL $73,099 47.3% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $59,808 20.5% 1
BLUE CROSS $58,612 18.1% 7
AvMed $53,960 8.7% 5
Cigna Healthcare $50,505 1.7% 3
Aetna $50,505 1.7% 7
NON CONTRACTED $48,777 -1.7% 1
Medicare (Generic) $39,171 -21.1% 4
LEON MEDICAL $36,712 -26.0% 2
Humana $35,729 -28.0% 2
Medica $35,073 -29.3% 1
VISTA $14,870 -70.0% 1
Sunshine Health $14,595 -70.6% 1
Medicaid (Generic) $14,457 -70.9% 2
WellCare Health Plans $14,457 -70.9% 1
Amerigroup $13,769 -72.3% 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.