Price Transparencybeta 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 D0404 · Nokomis, FL

D0404 — Traumatic Spinal Cord Injury M <31.50 And A <61.50

What each payer pays PAM REHABILITATION HOSPITAL OF VENICE LLC (CCN 103062) 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.

$47,429 All-payer median here
12 payer/plan-name variants
← This hospital National rates for D0404 →
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
   
Prime Health Services $66,401 40.0% 2
Velocity Provider PPO Network $56,915 20.0% 1
CURATIVE $47,429 0.0% 1
Ilumed ACO REACH $47,429 0.0% 1
WellMed Medical Management (UHC subsidiary) $47,429 0.0% 1
BCBS of Florida (Florida Blue) $47,429 0.0% 1
Simply Healthcare Plans $47,429 0.0% 1
Sunshine Health $47,429 0.0% 1
Aetna $47,429 0.0% 1
Humana $46,481 -2.0% 1
UnitedHealthcare $45,058 -5.0% 1
CarePlus (Encounters) $45,058 -5.0% 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.