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 →

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays SGMC HEALTH (CCN 110122) 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.

$69,853 All-payer median here
21 payer/plan-name variants
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
   
PRUITT HEALTH PREMIER NC & SC $80,023 14.6% 1
Centene $78,272 12.1% 2
BCBS of Georgia $69,853 0.0% 1
Beech Street Corp $69,853 0.0% 1
CareSource $69,853 0.0% 1
Chaprall Boats Inc $69,853 0.0% 1
Cigna Healthcare $69,853 0.0% 1
COVENTRY HEALTH CARE OF GEORGIA $69,853 0.0% 1
Coventry Leased Ppo $69,853 0.0% 1
First Health Network $69,853 0.0% 1
First Medical Network $69,853 0.0% 1
Humana $69,853 0.0% 1
Non $69,853 0.0% 1
Novanet Inc $69,853 0.0% 1
One Health $69,853 0.0% 1
PHCS (Private Healthcare Systems) $69,853 0.0% 1
Aetna $69,853 0.0% 1
Amerigroup $69,853 0.0% 1
UnitedHealthcare $69,853 0.0% 2
WellCare Health Plans $68,269 -2.3% 2
South Georgia Purchasing Alliance, Inc. $53,015 -24.1% 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.