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 467 · WINCHESTER, KY

467 — Revision Of Hip Or Knee Replacement With Cc

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.

$24,502 All-payer median here
$49,642 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for 467 →
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 $31,385 28.1% 1
Anthem BCBS of Kentucky $30,170 23.1% 3
Aetna $25,237 3.0% 1
BLUEGRASS FAMILY HEALTH $24,992 2.0% 1
Humana $24,502 0.0% 1
Managed Medicare 100% $24,502 0.0% 1
Medical Mutual of Ohio $24,502 0.0% 1
MVP Health Care $24,502 0.0% 1
PASSPORT HEALTH PLAN $24,502 0.0% 1
Pyramid $24,502 0.0% 1
UnitedHealthcare $24,502 0.0% 2
Advantra $24,502 0.0% 1
WellCare Health Plans $24,502 0.0% 1
Anthem (Elevance Health) $24,502 0.0% 1
Cigna Healthcare $24,502 0.0% 2
Essence $24,502 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.