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 494 · CARIBOU, ME

494 — Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc

What each payer pays CARY MEDICAL CENTER (CCN 200031) 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.

$18,149 All-payer median here
7 payer/plan-name variants
← This hospital National rates for 494 →
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
   
Martin's Point Health Care, Inc. $18,149 0.0% 1
Anthem (Elevance Health) $18,149 0.0% 1
Humana $18,149 0.0% 1
Aetna $18,149 0.0% 1
WellCare Health Plans $18,149 0.0% 1
VA / CHAMPVA $18,149 0.0% 1
TRICARE $17,176 -5.4% 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.