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 · CPT 0923T · CORAL GABLES, FL

0923T — Rmvl&rplcmt Perm Ccm-d Pg

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.

$41,971 All-payer median here
$61,862 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for 0923T →
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
   
DIMENSION HEALTH PLAN $85,655 104.1% 3
QUALITY HEALTH $85,655 104.1% 1
PHCS (Private Healthcare Systems) $85,655 104.1% 1
AFFORDABLE $80,896 92.7% 1
UnitedHealthcare $66,620 58.7% 6
INTERNATIONAL $61,862 47.4% 1
Aetna $48,538 15.6% 5
Cigna Healthcare $42,827 2.0% 4
AMERIHEALTH NEW JERSEY (NON-HMO) $42,827 2.0% 1
BLUE CROSS $41,971 0.0% 7
AvMed $38,640 -7.9% 5
NON CONTRACTED $34,928 -16.8% 1
Medicare (Generic) $27,758 -33.9% 4
LEON MEDICAL $26,016 -38.0% 2
Humana $25,319 -39.7% 2
Medica $24,854 -40.8% 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.