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 459 · SOMERSET, KY

459 — Spinal Fusion Except Cervical

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.

$154,448 All-payer median here
$106,294 Cash / self-pay here
6 payer/plan-name variants
← This hospital National rates for 459 →
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
   
CarePlus (Encounters) $154,448 0.0% 1
Direct Care $154,448 0.0% 1
Healthstar $154,448 0.0% 1
Ky Health Cooperative $154,448 0.0% 1
Ppo Next $154,448 0.0% 1
Anthem BCBS of Kentucky $59,868 -61.2% 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.