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 467 · MAYFIELD, KY

467 — Revision Of Hip Or Knee Replacement With Cc

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.

$25,802 All-payer median here
$33,025 Cash / self-pay here
14 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
   
CarePlus (Encounters) $43,958 70.4% 4
Ky Health Cooperative $43,958 70.4% 2
Christian Health Aid $43,958 70.4% 2
Cha (Community Health Alliance) $43,958 70.4% 2
Anthem BCBS of Kentucky $32,882 27.4% 6
TRICARE $30,551 18.4% 2
Bluegrass Family Health $25,802 0.0% 2
Humana $25,675 -0.5% 4
UnitedHealthcare $25,549 -1.0% 4
Molina Healthcare $25,331 -1.8% 2
WellCare Health Plans $25,296 -2.0% 2
Anthem (Elevance Health) $25,296 -2.0% 2
Managed Medicare 100% $25,296 -2.0% 2
Aetna $25,072 -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.