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 260 · WINCHESTER, KY

260 — Cardiac Pacemaker Revision Except Device Replacement 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.

$24,366 All-payer median here
$29,701 Cash / self-pay here
18 payer/plan-name variants
← This hospital National rates for 260 →
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
   
TRICARE $53,040 117.7% 1
Anthem BCBS of Kentucky $25,097 3.0% 5
WellCare Health Plans $24,366 0.0% 1
MVP Health Care $24,366 0.0% 1
PASSPORT HEALTH PLAN $24,366 0.0% 1
Pyramid $24,366 0.0% 1
UnitedHealthcare $24,366 0.0% 3
Advantra $24,366 0.0% 1
Anthem (Elevance Health) $24,366 0.0% 1
Cigna Healthcare $24,366 0.0% 2
Essence $24,366 0.0% 1
Managed Medicare 100% $24,366 0.0% 1
Medical Mutual of Ohio $24,366 0.0% 1
Aetna $12,549 -48.5% 2
BLUEGRASS FAMILY HEALTH $12,427 -49.0% 2
Affordable Health Care Concepts $1 -100.0% 1
Humana $1 -100.0% 3
MultiPlan $1 -100.0% 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.