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 78451 · CARTHAGE, IL

78451 — Ht Muscle Image Spect Sing

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.

$4,250 All-payer median here
$4,000 Cash / self-pay here
42 payer/plan-name variants
← This hospital National rates for 78451 →
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 $5,000 17.6% 1
CORVEL $4,750 11.8% 2
HFN Workers' Compensation $4,750 11.8% 1
National Preferred Provider Network $4,750 11.8% 1
HEALTHCARE'S FINEST NETWORK (HFN) $4,550 7.1% 1
Health First Network $4,550 7.1% 2
ppoNext $4,550 7.1% 1
Pponext $4,550 7.1% 2
Preferred Plan $4,500 5.9% 1
Iowa Health Solutions $4,500 5.9% 2
Three Rivers Provider Network $4,500 5.9% 2
Preferred Plan Inc $4,500 5.9% 2
First Care of Illinois Inc $4,500 5.9% 1
MultiPlan $4,500 5.9% 3
Mohr Health Systems $4,500 5.9% 1
Health Dynamics $4,500 5.9% 2
Health Payors Org $4,500 5.9% 2
First Health Network $4,450 4.7% 3
Integrated Health Plan $4,400 3.5% 3
PHCS (Private Healthcare Systems) $4,250 0.0% 2
Consociate $4,250 0.0% 2
Consociate Danzig $4,250 0.0% 1
HEALTHLINK PPO $4,250 0.0% 4
UMR (UnitedHealthcare TPA) $4,140 -2.6% 1
BCBS-Blue Choice $4,000 -5.9% 1
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $4,000 -5.9% 5
Meritain Health $3,875 -8.8% 2
Aetna Coventry Commercial $3,875 -8.8% 2
Wellmark BCBS $3,750 -11.8% 4
Molina Healthcare $3,200 -24.7% 4
Humana $2,907 -31.6% 12
UnitedHealthcare $2,770 -34.8% 6
Cigna Healthcare $1,450 -65.9% 4
Aetna Coventry Medicare Advantage $1,428 -66.4% 1
Health Alliance-Medicare Advantage $1,400 -67.1% 1
Meridian Health Plan of Michigan $1,400 -67.1% 1
VA COMMUNITY CARE NETWORK REGION 1 $1,400 -67.1% 1
WellCare Health Plans $1,400 -67.1% 1
Aetna $1,400 -67.1% 6
Meridian Health Plan of Illinois $1,400 -67.1% 2
Blue Cross Blue Shield Association $1,400 -67.1% 8
BCBS-Medicare Advantage $1,400 -67.1% 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.