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 001 · FALMOUTH, MA

001 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays FALMOUTH HOSPITAL (CCN 220135) 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.

$287,971 All-payer median here
10 payer/plan-name variants
← This hospital National rates for 001 →
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
   
Innovative Claim Doc $579,371 101.2% 1
Mass General Brigham $383,223 33.1% 3
UNIFORMED SERVICES FAMILY HEALTH PLAN $358,965 24.7% 1
Fallon Community Health Plan, Inc. $309,135 7.3% 2
Anthem (Elevance Health) $289,345 0.5% 1
Longevity Health Plan Of Ma $263,350 -8.5% 1
Commonwealth Care Alliance $261,576 -9.2% 1
Blue Cross Blue Shield $257,365 -10.6% 1
Tufts Health $253,355 -12.0% 2
Wellsense $241,804 -16.0% 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.