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 023 · FALMOUTH, MA

023 — Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Chemotherapy Implant Or Epilepsy With Neurostimulator

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.

$58,603 All-payer median here
11 payer/plan-name variants
← This hospital National rates for 023 →
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 $118,469 102.2% 1
Mass General Brigham $93,352 59.3% 3
Fallon Community Health Plan, Inc. $62,611 6.8% 2
UNIFORMED SERVICES FAMILY HEALTH PLAN $61,859 5.6% 1
Anthem (Elevance Health) $58,603 0.0% 1
Longevity Health Plan Of Ma $53,850 -8.1% 1
Commonwealth Care Alliance $52,978 -9.6% 1
Blue Cross Blue Shield $52,626 -10.2% 1
Tufts Health $51,806 -11.6% 2
Wellsense $49,444 -15.6% 1
UnitedHealthcare $48,954 -16.5% 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.