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 166 · WINCHESTER, KY

166 — Other Respiratory System O.r. Procedures With Mcc

What each payer pays CLARK REGIONAL MEDICAL CENTER (CCN 180092) 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.

$27,543 All-payer median here
$148,425 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for 166 →
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
   
FIDELIS CARE (CENTERCARE) $195,281 609.0% 1
COMMUNITY HEALTH ALLIANCE OF TENNESSEE $195,281 609.0% 1
CarePlus (Encounters) $195,281 609.0% 2
Aetna $111,825 306.0% 2
Anthem BCBS of Kentucky $32,468 17.9% 3
TRICARE $31,183 13.2% 1
BLUEGRASS FAMILY HEALTH $28,094 2.0% 1
MVP Health Care $27,543 0.0% 1
PASSPORT HEALTH PLAN $27,543 0.0% 1
Pyramid $27,543 0.0% 1
UnitedHealthcare $27,543 0.0% 2
Advantra $27,543 0.0% 1
WellCare Health Plans $27,543 0.0% 1
Anthem (Elevance Health) $27,543 0.0% 1
Cigna Healthcare $27,543 0.0% 2
Essence $27,543 0.0% 1
Humana $27,543 0.0% 1
Managed Medicare 100% $27,543 0.0% 1
Medical Mutual of Ohio $27,543 0.0% 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.