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 219 · FALMOUTH, MA

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization 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.

$72,697 All-payer median here
10 payer/plan-name variants
← This hospital National rates for 219 →
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 $158,743 118.4% 1
Fallon Community Health Plan, Inc. $84,916 16.8% 2
Anthem (Elevance Health) $79,480 9.3% 1
UNIFORMED SERVICES FAMILY HEALTH PLAN $76,108 4.7% 1
Longevity Health Plan Of Ma $72,156 -0.7% 1
Commonwealth Care Alliance $71,852 -1.2% 1
Blue Cross Blue Shield $70,516 -3.0% 1
Tufts Health $69,417 -4.5% 2
Wellsense $66,252 -8.9% 1
UnitedHealthcare $65,596 -9.8% 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.