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 95811 · CARTHAGE, IL

95811 — Polysom 6/>yrs Cpap 4/> Parm

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.

$4,692 All-payer median here
$4,534 Cash / self-pay here
42 payer/plan-name variants
← This hospital National rates for 95811 →
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 $5,667 20.8% 1
CORVEL $5,384 14.7% 2
HFN Workers' Compensation $5,384 14.7% 1
National Preferred Provider Network $5,384 14.7% 1
HEALTHCARE'S FINEST NETWORK (HFN) $5,157 9.9% 1
Health First Network $5,157 9.9% 2
ppoNext $5,157 9.9% 1
Pponext $5,157 9.9% 2
Preferred Plan $5,100 8.7% 1
Iowa Health Solutions $5,100 8.7% 2
Three Rivers Provider Network $5,100 8.7% 2
Preferred Plan Inc $5,100 8.7% 2
First Care of Illinois Inc $5,100 8.7% 1
MultiPlan $5,100 8.7% 3
Mohr Health Systems $5,100 8.7% 1
Health Dynamics $5,100 8.7% 2
Health Payors Org $5,100 8.7% 2
First Health Network $5,044 7.5% 3
Integrated Health Plan $4,987 6.3% 3
PHCS (Private Healthcare Systems) $4,817 2.7% 2
Consociate $4,817 2.7% 2
Consociate Danzig $4,817 2.7% 1
HEALTHLINK PPO $4,817 2.7% 4
UMR (UnitedHealthcare TPA) $4,692 0.0% 1
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $4,534 -3.4% 5
BCBS-Blue Choice $4,534 -3.4% 1
Wellmark BCBS $4,250 -9.4% 4
Molina Healthcare $3,298 -29.7% 6
UnitedHealthcare $3,140 -33.1% 6
Meritain Health $2,928 -37.6% 2
Aetna Coventry Commercial $2,342 -50.1% 2
Cigna Healthcare $1,643 -65.0% 4
Aetna Coventry Medicare Advantage $1,618 -65.5% 1
Humana $1,603 -65.8% 14
BCBS-Medicare Advantage $1,587 -66.2% 1
Blue Cross Blue Shield Association $1,587 -66.2% 8
Aetna $1,587 -66.2% 6
Health Alliance-Medicare Advantage $1,587 -66.2% 1
Meridian Health Plan of Michigan $1,587 -66.2% 1
VA COMMUNITY CARE NETWORK REGION 1 $1,587 -66.2% 1
WellCare Health Plans $1,587 -66.2% 1
Meridian Health Plan of Illinois $1,587 -66.2% 2

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.