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 275 · SOMERSET, KY

275 — Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc

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.

$55,450 All-payer median here
$113,953 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 275 →
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 $168,775 204.4% 1
CarePlus (Encounters) $168,775 204.4% 1
Ppo Next $168,775 204.4% 1
Ky Health Cooperative $168,775 204.4% 1
Direct Care $168,775 204.4% 1
TRICARE $64,864 17.0% 2
Anthem BCBS of Kentucky $58,760 6.0% 8
Amerigroup $58,223 5.0% 2
Bluegrass Family Health $56,559 2.0% 2
UnitedHealthcare $56,005 1.0% 6
Pyramid $55,450 0.0% 2
Sterling $55,450 0.0% 2
Anthem (Elevance Health) $55,450 0.0% 2
Definity $55,450 0.0% 2
Humana $55,450 0.0% 2
Devoted Health $52,668 -5.0% 3
Aetna $52,668 -5.0% 3

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.