Price Transparencybeta 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 · CDM 51063 · CALAIS, ME

51063 — Total Knee Femoral Compnt Sz F Right Nex

What each payer pays CALAIS COMMUNITY HOSPITAL (CCN 201305) 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.

$16,443 All-payer median here
$15,532 Cash / self-pay here
9 payer/plan-name variants
← This hospital National rates for 51063 →
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
   
Harvard Pilgrim Health Care $18,949 15.2% 1
Martin's Point Health Care, Inc. $18,638 13.3% 1
Aetna $17,810 8.3% 1
Cigna Healthcare $17,416 5.9% 1
Partners Direct Health $12,011 -27.0% 1
UnitedHealthcare $11,046 -32.8% 2
Anthem (Elevance Health) $10,363 -37.0% 2
WellCare Health Plans $9,112 -44.6% 1
Humana $9,112 -44.6% 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.