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 49020 · HOULTON, ME

49020 — Drainage Abdom Abscess Open

What each payer pays HOULTON REGIONAL HOSPITAL (CCN 201308) 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.

$2,952 All-payer median here
$5,500 Cash / self-pay here
9 payer/plan-name variants
← This hospital National rates for 49020 →
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
   
UnitedHealthcare $5,500 86.3% 1
Cigna Healthcare $5,268 78.4% 1
COMMUNITY_HEALTH $5,094 72.5% 1
Anthem (Elevance Health) $4,880 65.3% 1
Martin's Point Health Care, Inc. $2,952 0.0% 1
TRICARE $2,412 -18.3% 1
Aetna $1,613 -45.4% 1
WellCare Health Plans $1,597 -45.9% 1
ANTHEM_MCRADV $1,540 -47.8% 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.