Payer comparison · HCPCS C1604 · LOUISVILLE, KY

C1604 — Grft, Trnsmurl/trnsvens Byps

What each payer pays Norton Children's Hospital (CCN 189801) 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.

$94,679 All-payer median here

$37,312 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for C1604 →

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

Anthem Pathway Children's	$159,052	68.0%	2
Correct Care OB & GYN	$154,845	63.5%	1
Correct Care	$154,845	63.5%	1
MultiPlan	$152,046	60.6%	2
Anthem Pediatric	$150,442	58.9%	4
SIHO IN Exchange	$130,592	37.9%	1
Aetna Pediatric	$112,449	18.8%	4
Anthem (Elevance Health)	$100,929	6.6%	5
SIHO Holding, Inc.	$100,929	6.6%	3
Anthem BCBS of Kentucky	$97,804	3.3%	2
WellCare Health Plans	$97,804	3.3%	2
UnitedHealthcare	$94,679	0.0%	9
CareSource KY	$92,440	-2.4%	2
Cigna Healthcare	$82,739	-12.6%	8
Anthem Adult	$80,193	-15.3%	2
Humana	$69,727	-26.4%	2
PASSPORT HEALTH PLAN	$65,996	-30.3%	4
Aetna Better Health of Kentucky	$65,063	-31.3%	4
Aetna	$57,834	-38.9%	7

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.