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 42826 · LOUISVILLE, GA

42826 — Removal Of Tonsils

What each payer pays JEFFERSON HOSPITAL (CCN 110100) 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.

$3,168 All-payer median here
$2,809 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 42826 →
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
   
Blue Cross Blue Shield $3,966 25.2% 3
Humana $3,699 16.8% 2
UnitedHealthcare $3,640 14.9% 2
Aetna $3,584 13.1% 1
ALLIANT HEALTH PLANS OF GEORGIA $3,483 9.9% 1
Centene $3,483 9.9% 1
Cigna Healthcare $3,292 3.9% 1
Clover Health $3,045 -3.9% 1
Medicare (Generic) $3,045 -3.9% 1
Pruitt Healthcare $3,033 -4.3% 1
CareSource $2,865 -9.6% 2
WellCare Health Plans $2,660 -16.0% 2
Medicaid (Generic) $2,056 -35.1% 1
Amerigroup $2,056 -35.1% 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.