Payer comparison · CPT 3 · SOMERSET, KY

3 — Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.r. Procedures

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.

$171,524 All-payer median here

$322,723 Cash / self-pay here

17 payer/plan-name variants

← This hospital National rates for 3 →

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	$447,392	160.8%	2
CarePlus (Encounters)	$447,392	160.8%	2
Ppo Next	$447,392	160.8%	2
Ky Health Cooperative	$447,392	160.8%	2
Direct Care	$447,392	160.8%	2
Anthem BCBS of Kentucky	$446,636	160.4%	6
TRICARE	$257,529	50.1%	2
Amerigroup	$176,568	2.9%	2
Bluegrass Family Health	$171,524	0.0%	2
UnitedHealthcare	$169,842	-1.0%	4
Pyramid	$168,160	-2.0%	2
Sterling	$168,160	-2.0%	2
Anthem (Elevance Health)	$168,160	-2.0%	2
Definity	$168,160	-2.0%	2
Humana	$168,160	-2.0%	2
Devoted Health	$159,722	-6.9%	2
Aetna	$159,722	-6.9%	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.