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 · CPT 51865 · CARTHAGE, IL

51865 — Repair Of Bladder Wound

What each payer pays MEMORIAL HOSPITAL (CCN 141305) 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.

$2,256 All-payer median here
$6,318 Cash / self-pay here
32 payer/plan-name variants
← This hospital National rates for 51865 →
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
   
BCBS of Illinois $7,898 250.1% 1
National Preferred Provider Network $7,503 232.6% 1
HFN Workers' Compensation $7,503 232.6% 1
ppoNext $7,187 218.6% 1
HEALTHCARE'S FINEST NETWORK (HFN) $7,187 218.6% 1
Preferred Plan $7,108 215.1% 1
Mohr Health Systems $7,108 215.1% 1
MultiPlan $7,108 215.1% 1
First Care of Illinois Inc $7,108 215.1% 1
First Health Network $7,029 211.6% 1
Integrated Health Plan $6,950 208.1% 1
Consociate Danzig $6,713 197.6% 1
UMR (UnitedHealthcare TPA) $6,540 189.9% 1
HEALTHLINK PPO $6,516 188.9% 2
Aetna Coventry Commercial $6,318 180.1% 1
Meritain Health $6,318 180.1% 1
BCBS-Blue Choice $6,318 180.1% 1
Wellmark BCBS $5,924 162.6% 4
Aetna Coventry Medicare Advantage $2,256 0.0% 1
Humana $2,211 -2.0% 4
BCBS-Medicare Advantage $2,211 -2.0% 1
Blue Cross Blue Shield Association $2,211 -2.0% 2
Cigna Healthcare $2,211 -2.0% 2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $2,211 -2.0% 3
Health Alliance-Medicare Advantage $2,211 -2.0% 1
Aetna $2,211 -2.0% 2
Meridian Health Plan of Illinois $2,211 -2.0% 2
Meridian Health Plan of Michigan $2,211 -2.0% 1
Molina Healthcare $2,211 -2.0% 2
UnitedHealthcare $2,211 -2.0% 4
VA COMMUNITY CARE NETWORK REGION 1 $2,211 -2.0% 1
WellCare Health Plans $2,211 -2.0% 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.