Price Transparency 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 · CPT 264 · MAYFIELD, KY

264 — Other Circulatory System O.r. Procedures

What each payer pays JACKSON PURCHASE MEDICAL CENTER (CCN 180116) 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.

$26,088 All-payer median here
$22,566 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 264 →
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
   
Anthem BCBS of Kentucky $33,553 28.6% 6
Ky Health Cooperative $31,777 21.8% 2
CarePlus (Encounters) $31,777 21.8% 4
Cha (Community Health Alliance) $31,777 21.8% 2
Christian Health Aid $31,777 21.8% 2
Bluegrass Family Health $26,328 0.9% 2
Humana $26,199 0.4% 4
UnitedHealthcare $26,070 -0.1% 4
Molina Healthcare $25,848 -0.9% 2
WellCare Health Plans $25,812 -1.1% 2
Anthem (Elevance Health) $25,812 -1.1% 2
Managed Medicare 100% $25,812 -1.1% 2
Aetna $25,584 -1.9% 4
TRICARE $20,083 -23.0% 2

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.