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 477 · MAYFIELD, KY

477 — Biopsies Of Musculoskeletal System And Connective Tissue 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.

$25,906 All-payer median here
$52,112 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 477 →
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
   
Cha (Community Health Alliance) $75,850 192.8% 2
Ky Health Cooperative $75,850 192.8% 2
Christian Health Aid $75,850 192.8% 2
CarePlus (Encounters) $75,850 192.8% 4
TRICARE $39,035 50.7% 2
Anthem BCBS of Kentucky $33,014 27.4% 6
Bluegrass Family Health $25,906 0.0% 2
Humana $25,779 -0.5% 4
UnitedHealthcare $25,652 -1.0% 4
Molina Healthcare $25,433 -1.8% 2
WellCare Health Plans $25,398 -2.0% 2
Anthem (Elevance Health) $25,398 -2.0% 2
Managed Medicare 100% $25,398 -2.0% 2
Aetna $25,173 -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.