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 64654 · BOSTON, MA

64654 — 1st Opn Implt Bat Modulj Sys

What each payer pays BOSTON MEDICAL CENTER (CCN 220031) 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.

$51,442 All-payer median here
$29,693 Cash / self-pay here
36 payer/plan-name variants
← This hospital National rates for 64654 →
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
   
OXFORD HEALTH [2024] $125,708 144.4% 1
OXFORD HEALTH [1007] $125,708 144.4% 1
UMR [2031] $125,708 144.4% 1
UNITED [2025] $79,449 54.4% 2
ZZZUNITED [1008] $79,449 54.4% 2
Fallon Health $61,401 19.4% 2
SENIOR WHOLE HEALTH [1210] $61,401 19.4% 1
CORRECTIONS [9001] $56,284 9.4% 3
ETERNALHEALTH [1227] $54,237 5.4% 1
Cigna Healthcare $53,765 4.5% 2
ZZZCIGNA [1002] $53,765 4.5% 2
CCA [1215] $53,726 4.4% 1
ZZZCCA ONECARE [1216] $53,726 4.4% 1
UNITED MEDICARE MANAGED [1212] $53,726 4.4% 1
Mass General Brigham Incorporated $53,726 4.4% 1
CCA MEDICARE PREFERRED [9010] $53,726 4.4% 1
WELLCARE [1240] $53,214 3.4% 1
TUFTS [8002] $51,442 0.0% 4
ZZZRAILROAD MEDICARE [2002] $51,167 -0.5% 1
ZZZCOVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [500010] $51,167 -0.5% 1
Medicare (Generic) $51,167 -0.5% 1
UNICARE [8004] $49,489 -3.8% 1
Anthem (Elevance Health) $49,489 -3.8% 1
Harvard Pilgrim Health Care $42,179 -18.0% 2
TUFTS CONNCARE/QHP [8020] $36,562 -28.9% 2
MASS GENERAL BRIGHAM HEALTH PLAN COMMERCIAL [8009] $35,592 -30.8% 1
ZZZHEALTH PLANS INC [1013] $33,190 -35.5% 1
HEALTH PLANS INC [2027] $33,190 -35.5% 1
AETNA [2022] $32,267 -37.3% 2
ZZZAETNA [1001] $32,267 -37.3% 2
MERITAIN HEALTH [1023] $32,267 -37.3% 1
ZZZCITY OF BOSTON WORK COMP [5003] $28,288 -45.0% 1
WORKERS COMP [5002] $28,288 -45.0% 1
ZZZBU EMPLOYEE WORK COMP [5004] $28,288 -45.0% 1
UPHAMS CORNER ESP [1213] $26,394 -48.7% 1
WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE [1108] $23,755 -53.8% 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.