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 →

63685 — Ins/rplc Spi Npg/rcvr Pocket

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.

$26,423 All-payer median here
$36,698 Cash / self-pay here
17 payer/plan-name variants
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 $73,396 177.8% 1
BCBS of Florida (Florida Blue) $59,891 126.7% 1
BLUE CROSS PPO - ALL OTHER PLANS $59,891 126.7% 1
Humana $55,047 108.3% 1
BLUE CROSS PATHWAY HPN $51,509 94.9% 1
BLUE CROSS PATHWAY HMO $51,509 94.9% 1
Centene $29,065 10.0% 1
Aetna $26,423 0.0% 3
BLUE CROSS MCR ADV $26,423 0.0% 1
CareSource $26,423 0.0% 1
UnitedHealthcare $26,423 0.0% 3
UNIVERSITY HEALTH CARE MCR ADV $26,423 0.0% 1
Molina Healthcare $25,410 -3.8% 1
TRICARE $23,780 -10.0% 1
UNIVERSITY HEALTH CARE - ALL OTHER PLANS $13,725 -48.1% 1
WellCare Health Plans $13,421 -49.2% 2
BLUE CROSS MEDICAID $419 -98.4% 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.