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 969 · KNOX, IN

969 — HIV With Extensive O.r. Procedures With Mcc

What each payer pays NORTHWEST HEALTH - STARKE (CCN 150102) 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.

$263,508 All-payer median here
22 payer/plan-name variants
← This hospital National rates for 969 →
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
   
Encore Kba Ppo $790,525 200.0% 1
Encore Kba Epo $632,420 140.0% 1
Magnacare Ma $632,420 140.0% 1
Lutheran Network $527,016 100.0% 1
Indiana Workers Comp $527,016 100.0% 1
Encore $474,315 80.0% 1
Anthem In Work Comp $421,613 60.0% 1
Node Anthem Essentials Mcr Adv $395,262 50.0% 1
Managed Health Services Indiana $395,262 50.0% 2
US Department of Labor (OWCP) $353,019 34.0% 1
Provider Partners Health Plan (PPHP) $276,684 5.0% 1
In Dept Of Correction $274,049 4.0% 1
VA / CHAMPVA $263,508 0.0% 3
Devoted Health $263,438 -0.0% 1
Humana $258,273 -2.0% 1
Centers for Medicare & Medicaid Services $258,273 -2.0% 2
Aetna $258,273 -2.0% 1
UnitedHealthcare $232,445 -11.8% 1
Anthem (Elevance Health) $174,309 -33.9% 4
Anthem BCBS of Indiana $166,176 -36.9% 2
TRICARE $11,188 -95.8% 1
Lutheran $2,506 -99.0% 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.