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 25607 · TOCCOA, GA

25607 — Optx Dst Rd Xartc Fx/epi Sep

What each payer pays STEPHENS COUNTY HOSPITAL (CCN 110032) 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.

$21,866 All-payer median here
$15,900 Cash / self-pay here
10 payer/plan-name variants
← This hospital National rates for 25607 →
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
   
Medicare (Generic) $26,500 21.2% 1
CareSource $26,500 21.2% 1
Cigna Healthcare $23,850 9.1% 1
UnitedHealthcare $23,320 6.6% 1
Aetna $22,525 3.0% 1
Blue Cross Blue Shield Association $21,208 -3.0% 1
WellCare Health Plans $8,774 -59.9% 1
Centene $8,520 -61.0% 1
Medicaid (Generic) $8,520 -61.0% 1
Amerigroup $8,520 -61.0% 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.