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 · OTHER 0916T · MOREHEAD, KY

0916T — Insj Perm Ccm-d Sys Pg Only

What each payer pays ST CLAIRE REGIONAL MEDICAL CENTER (CCN 180018) 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.

$40,066 All-payer median here
$43,348 Cash / self-pay here
10 payer/plan-name variants
← This hospital National rates for 0916T →
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
   
KY HEALTH CO-OP - ALL PLANS $75,137 87.5% 1
Carelon Behavioral Health $60,688 51.5% 1
Aetna $57,798 44.3% 1
Anthem (Elevance Health) $41,638 3.9% 7
HEALTHLINK PPO $40,066 0.0% 1
Humana $31,760 -20.7% 2
WellCare Health Plans $31,211 -22.1% 2
CareSource $26,520 -33.8% 2
COVENTRY MEDICAID-ALL PLANS $16,230 -59.5% 1
PASSPORT HEALTH PLAN $13,958 -65.2% 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.