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 466 · MAYFIELD, KY

466 — Revision Of Hip Or Knee Replacement With Mcc

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.

$38,377 All-payer median here
$99,489 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 466 →
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
   
CarePlus (Encounters) $132,394 245.0% 4
Ky Health Cooperative $132,394 245.0% 2
Christian Health Aid $132,394 245.0% 2
Cha (Community Health Alliance) $132,394 245.0% 2
Anthem BCBS of Kentucky $48,908 27.4% 6
TRICARE $41,209 7.4% 2
Bluegrass Family Health $38,377 0.0% 2
Humana $38,189 -0.5% 4
UnitedHealthcare $38,001 -1.0% 4
Molina Healthcare $37,677 -1.8% 2
WellCare Health Plans $37,625 -2.0% 2
Anthem (Elevance Health) $37,625 -2.0% 2
Managed Medicare 100% $37,625 -2.0% 2
Aetna $37,292 -2.8% 4

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.