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 · CPT 63030 · GALENA, KS

63030 — Low Back Disk Surgery

What each payer pays MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS (CCN 170203) 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.

$12,289 All-payer median here
$26,468 Cash / self-pay here
51 payer/plan-name variants
← This hospital National rates for 63030 →
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
   
UMR (UnitedHealthcare TPA) $31,163 153.6% 1
HEALTH SYSTEMS INC CONTRACTED [320174] $31,163 153.6% 1
HealthSCOPE Benefits EHC Repricing $31,163 153.6% 1
POINT C / MID-AMERICAN BENEFITS $31,163 153.6% 2
INSURANCE SYSTEM INC CONTRACTED [320465] $31,163 153.6% 1
BENEFIT MANAGEMENT CONTRACTED [320052] $31,163 153.6% 1
PROVIDRS CARE NETWORK CONTRACTED [320484] $23,801 93.7% 1
UnitedHealthcare $13,335 8.5% 2
CENTIVO CONTRACTED [320505] $12,527 1.9% 1
VA COMMUNITY CARE NETWORK $12,527 1.9% 1
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $12,289 0.0% 1
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $12,289 0.0% 1
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $12,289 0.0% 1
Cigna Healthcare $12,289 0.0% 1
CROSS TIMBERS HOSPICE [20098] $12,289 0.0% 1
Devoted Health $12,289 0.0% 1
ELARA CARING ASPIRE HOSPICE [20433] $12,289 0.0% 1
GLOBAL HEALTH $12,289 0.0% 1
HALO HCR INC HOSPICE [20432] $12,289 0.0% 1
HALO HCR INC HOSPICE CONTRACTED [320432] $12,289 0.0% 1
KINDFUL HOSPICE [20434] $12,289 0.0% 1
KINDFUL HOSPICE CONTRACTED [320434] $12,289 0.0% 1
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $12,289 0.0% 1
Medica Holding Company $12,289 0.0% 1
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $12,289 0.0% 1
Medicare (Generic) $12,289 0.0% 1
MERCY HOSPICE OKC [20252] $12,289 0.0% 1
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $12,289 0.0% 1
PACE OF THE OZARKS CONTRACTED [320518] $12,289 0.0% 1
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] $12,289 0.0% 1
QUAL CHOICE CONTRACTED [320325] $12,289 0.0% 1
SUNFLOWER HEALTH PLAN [20369] $12,289 0.0% 1
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $12,289 0.0% 1
TRICARE $12,289 0.0% 1
HEALTH CHOICE CONTRACTED [320166] $12,144 -1.2% 1
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $11,976 -2.5% 2
Humana $9,444 -23.1% 2
Oklahoma Complete Care (Centene OK Medicaid) $6,362 -48.2% 1
Aetna $6,362 -48.2% 1
Medicaid (Generic) $6,090 -50.4% 3
HOME STATE MEDICAID CONTRACTED [320189] $6,090 -50.4% 1
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] $6,090 -50.4% 1
MERCY BENEFIT ADMIN CONTRACTED [320251] $4,960 -59.6% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $4,960 -59.6% 1
BCBS MEDICAID CONTRACTED [320046] $4,204 -65.8% 2
KANCARE CONTRACTED [320213] $2,318 -81.1% 2
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $917 -92.5% 1
INDIAN HEALTH SERVICES $813 -93.4% 1
BLUE CROSS AND BLUE SHIELD [20053] $474 -96.1% 2
MC GENERIC ANTHEM [20456] $135 -98.9% 1
MC ANTHEM [20455] $135 -98.9% 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.