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 →

Payer comparison · OTHER 728727 · CHICAGO, IL

728727 — Addition To Le Pros Endo Knee-shin Sys Microproc

What each payer pays Shirley Ryan Abilitylab (CCN 143026) 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.

$13,610 All-payer median here
$14,848 Cash / self-pay here
37 payer/plan-name variants
← This hospital National rates for 728727 →
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
   
Healthnetwork $22,643 66.4% 4
Cofinity Aka Ppom $21,034 54.5% 2
Health Payors Organization $21,034 54.5% 2
Resurrection Health Care Preferred $19,797 45.5% 2
PHCS (Private Healthcare Systems) $19,797 45.5% 2
Health Care Services Corporation Dba Managed Care Network Preferred $19,438 42.8% 4
Unicare Life And Health Insurance $19,302 41.8% 2
Health Care Services Corporation D/B/A Hmo Illinois $19,302 41.8% 2
Gallagher Benefit Administrators $18,560 36.4% 2
HEALTHCARE'S FINEST NETWORK (HFN) $17,389 27.8% 4
Advocate And Advocate Health Partners $17,322 27.3% 2
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $17,099 25.6% 4
Uic Physician Group $16,827 23.6% 4
Paradigm Health Corporation $16,085 18.2% 2
MultiPlan $16,085 18.2% 2
University Of Chicago Practice Plan $16,085 18.2% 2
Loyola University Physician Foundation $16,085 18.2% 2
Cigna Healthcare Of Illinois $15,194 11.6% 2
Affordable Health Care Concepts $14,872 9.3% 2
Cigna Healthcare $14,204 4.4% 2
State Of Illinois $13,165 -3.3% 2
Uic Physician Group-Campuscare $12,992 -4.5% 4
CORVEL $12,902 -5.2% 2
Coventry Workers Comp $12,902 -5.2% 2
UnitedHealthcare $12,287 -9.7% 4
Health Care Services Corporation $11,100 -18.4% 4
ADVOCATE HEALTH PARTNERS $10,489 -22.9% 2
WellCare Health Plans $10,321 -24.2% 2
Humana $10,321 -24.2% 2
Aetna $10,321 -24.2% 6
TRICARE $10,321 -24.2% 2
Aetna Us Healthcare Of Illinois $9,651 -29.1% 2
BCBS of Illinois $7,917 -41.8% 4
Union Health Services, Inc. $7,905 -41.9% 2
Aetna Better Health - Medicaid Icp Fhp / Aca $4,327 -68.2% 2
Meridian Health Plan $4,327 -68.2% 2
County Care $4,327 -68.2% 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.