Price Transparencybeta 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 →

29867 — Allgrft Implnt Knee W/scope

What each payer pays UP HEALTH SYSTEM PORTAGE (CCN 230108) 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.

$34,087 All-payer median here
$33,341 Cash / self-pay here
32 payer/plan-name variants
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
   
UMR (UnitedHealthcare TPA) $43,438 27.4% 2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS $43,438 27.4% 2
Wea $43,438 27.4% 2
Wausua $43,438 27.4% 2
Fiserv $43,438 27.4% 2
MultiPlan $42,049 23.4% 4
COFINITY $42,049 23.4% 2
Cmi $40,660 19.3% 2
Consumers Mutual $37,882 11.1% 2
Cigna Healthcare $34,087 0.0% 4
UnitedHealthcare $34,087 0.0% 4
Priority Health $34,087 0.0% 4
Aetna $33,881 -0.6% 6
BCBS of Michigan $27,246 -20.1% 4
UCare $23,347 -31.5% 2
UNIVERSAL HEALTH NETWORK $23,347 -31.5% 2
UPPER PENINSULA HEALTH PLAN $23,347 -31.5% 2
Advantra $23,347 -31.5% 2
WellCare Health Plans $23,347 -31.5% 2
Anthem (Elevance Health) $23,347 -31.5% 4
FREEDOM HEALTH PLAN $23,347 -31.5% 2
Health Net $23,347 -31.5% 2
Healthplus $23,347 -31.5% 2
Humana $23,347 -31.5% 4
Kaiser Permanente $23,347 -31.5% 2
Managed Medicare 100% $23,347 -31.5% 2
Molina Healthcare $23,347 -31.5% 2
Network Health, Inc. $23,347 -31.5% 2
Optimum $23,347 -31.5% 2
Pyramid $23,347 -31.5% 2
Security Health Plan of Wisconsin $23,347 -31.5% 2
TRICARE $23,347 -31.5% 2

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.