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 207 · SOMERSET, KY

207 — Respiratory System Diagnosis With Ventilator Support >96 Hours

What each payer pays LAKE CUMBERLAND REGIONAL HOSPITAL (CCN 180132) 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.

$51,251 All-payer median here
$119,062 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 207 →
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
   
Direct Care $162,967 218.0% 2
CarePlus (Encounters) $162,967 218.0% 2
Ky Health Cooperative $162,967 218.0% 2
Healthstar $162,967 218.0% 2
Ppo Next $162,967 218.0% 2
TRICARE $66,986 30.7% 2
Amerigroup $53,281 4.0% 2
Bluegrass Family Health $51,759 1.0% 2
UnitedHealthcare $51,251 0.0% 4
Anthem (Elevance Health) $50,744 -1.0% 2
Humana $50,744 -1.0% 2
Definity $50,744 -1.0% 2
Anthem BCBS of Kentucky $50,744 -1.0% 6
Pyramid $50,744 -1.0% 2
Sterling $50,744 -1.0% 2
Aetna $48,198 -6.0% 2
Devoted Health $48,198 -6.0% 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.