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 28 · SOMERSET, KY

28 — Spinal Procedures With 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.

$47,702 All-payer median here
$76,248 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 28 →
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
   
Ky Health Cooperative $100,104 109.9% 1
CarePlus (Encounters) $100,104 109.9% 1
Healthstar $100,104 109.9% 1
Ppo Next $100,104 109.9% 1
Direct Care $100,104 109.9% 1
Amerigroup $50,087 5.0% 2
Bluegrass Family Health $48,656 2.0% 2
UnitedHealthcare $48,179 1.0% 4
Anthem BCBS of Kentucky $47,726 0.1% 6
Sterling $47,702 0.0% 2
Definity $47,702 0.0% 2
Humana $47,702 0.0% 2
Anthem (Elevance Health) $47,702 0.0% 2
Pyramid $47,702 0.0% 2
Aetna $45,308 -5.0% 2
Devoted Health $45,308 -5.0% 2
TRICARE $44,279 -7.2% 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.