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 469 · MAYFIELD, KY

469 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Replacement

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.

$24,174 All-payer median here
$80,713 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 469 →
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) $111,607 361.7% 2
Ky Health Cooperative $111,607 361.7% 1
Christian Health Aid $111,607 361.7% 1
Cha (Community Health Alliance) $111,607 361.7% 1
Anthem BCBS of Kentucky $31,380 29.8% 6
TRICARE $29,725 23.0% 2
Bluegrass Family Health $24,623 1.9% 2
Humana $24,502 1.4% 4
UnitedHealthcare $24,381 0.9% 4
Molina Healthcare $24,174 0.0% 2
WellCare Health Plans $24,140 -0.1% 2
Anthem (Elevance Health) $24,140 -0.1% 2
Managed Medicare 100% $24,140 -0.1% 2
Aetna $23,927 -1.0% 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.