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 · HCPCS C1604 · CORAL GABLES, FL

C1604 — Grft, Trnsmurl/trnsvens Byps

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.

$56,360 All-payer median here
$83,070 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for C1604 →
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 $115,020 104.1% 3
QUALITY HEALTH $115,020 104.1% 1
PHCS (Private Healthcare Systems) $115,020 104.1% 1
AFFORDABLE $108,630 92.7% 1
UnitedHealthcare $89,460 58.7% 6
INTERNATIONAL $83,070 47.4% 1
Aetna $65,178 15.6% 5
Cigna Healthcare $61,344 8.8% 4
AMERIHEALTH NEW JERSEY (NON-HMO) $57,510 2.0% 1
BLUE CROSS $56,360 0.0% 7
AvMed $51,887 -7.9% 5
NON CONTRACTED $46,903 -16.8% 1
Medicare (Generic) $43,831 -22.2% 4
LEON MEDICAL $41,080 -27.1% 2
Humana $39,980 -29.1% 2
Medica $39,246 -30.4% 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.