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 231 · FALMOUTH, MA

231 — Coronary Bypass With Ptca 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.

$78,691 All-payer median here
11 payer/plan-name variants
← This hospital National rates for 231 →
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 $174,281 121.5% 1
Fallon Community Health Plan, Inc. $92,998 18.2% 2
UNIFORMED SERVICES FAMILY HEALTH PLAN $89,666 13.9% 1
Anthem (Elevance Health) $87,044 10.6% 1
Longevity Health Plan Of Ma $79,219 0.7% 1
Commonwealth Care Alliance $78,691 0.0% 1
Blue Cross Blue Shield $77,418 -1.6% 1
Tufts Health $76,212 -3.2% 2
Wellsense $72,737 -7.6% 1
UnitedHealthcare $72,017 -8.5% 1
Mass General Brigham $68,527 -12.9% 3

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.