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 64656 · BOSTON, MA

64656 — Revj/rplcmt Bat Mod Sys Pg

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.

$36,039 All-payer median here
$20,802 Cash / self-pay here
36 payer/plan-name variants
← This hospital National rates for 64656 →
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] $88,067 144.4% 1
OXFORD HEALTH [1007] $88,067 144.4% 1
UMR [2031] $88,067 144.4% 1
ZZZUNITED [1008] $55,660 54.4% 2
UNITED [2025] $55,660 54.4% 2
SENIOR WHOLE HEALTH [1210] $43,016 19.4% 1
Fallon Health $43,016 19.4% 2
CORRECTIONS [9001] $39,431 9.4% 3
ETERNALHEALTH [1227] $37,997 5.4% 1
Cigna Healthcare $37,666 4.5% 2
ZZZCIGNA [1002] $37,666 4.5% 2
CCA [1215] $37,639 4.4% 1
Mass General Brigham Incorporated $37,639 4.4% 1
UNITED MEDICARE MANAGED [1212] $37,639 4.4% 1
ZZZCCA ONECARE [1216] $37,639 4.4% 1
CCA MEDICARE PREFERRED [9010] $37,639 4.4% 1
WELLCARE [1240] $37,280 3.4% 1
TUFTS [8002] $36,039 0.0% 4
ZZZRAILROAD MEDICARE [2002] $35,846 -0.5% 1
ZZZCOVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [500010] $35,846 -0.5% 1
Medicare (Generic) $35,846 -0.5% 1
UNICARE [8004] $34,670 -3.8% 1
Anthem (Elevance Health) $34,670 -3.8% 1
Harvard Pilgrim Health Care $29,549 -18.0% 2
TUFTS CONNCARE/QHP [8020] $25,679 -28.7% 2
MASS GENERAL BRIGHAM HEALTH PLAN COMMERCIAL [8009] $24,935 -30.8% 1
ZZZHEALTH PLANS INC [1013] $23,252 -35.5% 1
HEALTH PLANS INC [2027] $23,252 -35.5% 1
AETNA [2022] $22,605 -37.3% 2
ZZZAETNA [1001] $22,605 -37.3% 2
MERITAIN HEALTH [1023] $22,605 -37.3% 1
ZZZCITY OF BOSTON WORK COMP [5003] $19,818 -45.0% 1
WORKERS COMP [5002] $19,818 -45.0% 1
ZZZBU EMPLOYEE WORK COMP [5004] $19,818 -45.0% 1
UPHAMS CORNER ESP [1213] $18,491 -48.7% 1
WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE [1108] $16,642 -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.