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 0916T · MARATHON, FL

0916T — Insj Perm Ccm-d Sys Pg Only

What each payer pays FISHERMEN'S COMMUNITY HOSPITAL (CCN 101312) 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.

$69,476 All-payer median here
$61,862 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for 0916T →
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
   
PHCS (Private Healthcare Systems) $85,655 23.3% 1
AFFORDABLE $85,655 23.3% 1
QUALITY HEALTH $85,655 23.3% 1
AvMed $78,802 13.4% 5
DIMENSION HEALTH PLAN $78,517 13.0% 2
UnitedHealthcare $76,138 9.6% 6
Cigna Healthcare $71,855 3.4% 4
BLUE CROSS $71,379 2.7% 9
AMERIHEALTH NEW JERSEY (NON-HMO) $71,379 2.7% 1
INTERNATIONAL $61,862 -11.0% 1
Aetna $47,491 -31.6% 6
NON CONTRACTED $34,928 -49.7% 1
Humana $21,785 -68.6% 2
Medica $19,986 -71.2% 1
Medicare (Generic) $19,986 -71.2% 3
LEON MEDICAL $19,986 -71.2% 2

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.