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 628 · WINCHESTER, KY

628 — Other Endocrine, Nutritional And Metabolic 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.

$28,225 All-payer median here
$37,414 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for 628 →
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 $47,239 67.4% 1
Anthem BCBS of Kentucky $29,617 4.9% 3
Aetna $29,072 3.0% 1
BLUEGRASS FAMILY HEALTH $28,790 2.0% 1
Humana $28,225 0.0% 1
Managed Medicare 100% $28,225 0.0% 1
Medical Mutual of Ohio $28,225 0.0% 1
MVP Health Care $28,225 0.0% 1
PASSPORT HEALTH PLAN $28,225 0.0% 1
Pyramid $28,225 0.0% 1
UnitedHealthcare $28,225 0.0% 2
Advantra $28,225 0.0% 1
WellCare Health Plans $28,225 0.0% 1
Anthem (Elevance Health) $28,225 0.0% 1
Cigna Healthcare $28,225 0.0% 2
Essence $28,225 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.