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 · HCPCS 0275T · HARDINSBURG, KY

0275T — Perq Lamot/lam Lumbar

What each payer pays BRECKINRIDGE MEMORIAL HOSPITAL (CCN 181319) 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.

$9,077 All-payer median here
$8,268 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 0275T →
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
   
BLUE CROSS MCARE SELECT $16,537 82.2% 1
BLUE CROSS MEDICAID $16,537 82.2% 1
BLUE CROSS PPO - ALL OTHER PLANS $13,494 48.7% 1
BCBS of Florida (Florida Blue) $13,494 48.7% 1
Aetna $12,402 36.6% 3
Humana $12,402 36.6% 1
BLUE CROSS PATHWAY HMO $11,605 27.9% 1
BLUE CROSS PATHWAY HPN $11,605 27.9% 1
WellCare Health Plans $11,245 23.9% 2
Centene $6,548 -27.9% 1
CareSource $5,953 -34.4% 1
BLUE CROSS MCR ADV $5,953 -34.4% 1
UnitedHealthcare $5,953 -34.4% 3
UNIVERSITY HEALTH CARE MCR ADV $5,953 -34.4% 1
UNIVERSITY HEALTH CARE - ALL OTHER PLANS $5,788 -36.2% 1
Molina Healthcare $5,725 -36.9% 1
TRICARE $5,358 -41.0% 1

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.