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 23 · SOMERSET, KY

23 — Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Chemotherapy Implant Or Epilepsy With Neurostimulator

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.

$45,484 All-payer median here
$218,866 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 23 →
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
   
Healthstar $294,841 548.2% 2
CarePlus (Encounters) $294,841 548.2% 2
Ppo Next $294,841 548.2% 2
Ky Health Cooperative $294,841 548.2% 2
Direct Care $294,841 548.2% 2
TRICARE $63,046 38.6% 2
Amerigroup $47,003 3.3% 2
Bluegrass Family Health $45,660 0.4% 2
Anthem BCBS of Kentucky $45,309 -0.4% 6
UnitedHealthcare $45,212 -0.6% 4
Pyramid $44,764 -1.6% 2
Sterling $44,764 -1.6% 2
Anthem (Elevance Health) $44,764 -1.6% 2
Definity $44,764 -1.6% 2
Humana $44,764 -1.6% 2
Devoted Health $42,518 -6.5% 2
Aetna $42,518 -6.5% 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.