Payer comparison · CDM 5004940 · MIDDLEBURG, FL

5004940 — Insert/rplc Neuro Com Sys 0424t

What each payer pays ASCENSION ST VINCENT'S CLAY COUNTY (CCN 100321) 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.

$65,465 All-payer median here

$67,284 Cash / self-pay here

21 payer/plan-name variants

← This hospital National rates for 5004940 →

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

HEARTLAND HOME HEALTH AND HOSPICE	$181,848	177.8%	1
CDM DEFAULT - NON-NEGOTIATED RATE	$181,848	177.8%	1
BeechStreet Corporation	$154,570	136.1%	1
MultiPlan	$145,478	122.2%	1
Coventry Workers' Compensation	$118,201	80.6%	1
First Health Network	$112,745	72.2%	1
PHCS (Private Healthcare Systems)	$109,108	66.7%	1
SE GEORGIA HEALTH SYSTEM	$109,108	66.7%	1
UnitedHealthcare	$104,562	59.7%	2
90 Degree Benefits	$90,924	38.9%	1
COVENTRY HEALTH CARE OF GEORGIA	$90,015	37.5%	2
Cigna Healthcare	$67,284	2.8%	2
Northwell Direct	$63,647	-2.8%	1
AIDS Healthcare Foundation MCO	$60,010	-8.3%	1
AvMed	$56,373	-13.9%	3
Humana	$52,736	-19.4%	2
Aetna	$52,146	-20.3%	2
CIGNA HMO NEW BUSINESS	$36,370	-44.4%	1
Georgia Medicaid (DCH)	$36,370	-44.4%	1
NORTH FLORIDA SURGEONS	$10,000	-84.7%	1
BCBS of Florida (Florida Blue)	$1,091	-98.3%	7

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.