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 →

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc

What each payer pays EDWARD W SPARROW HOSPITAL (CCN 230230) 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.

$119,560 All-payer median here
$76,551 Cash / self-pay here
22 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
   
COFINITY $239,573 100.4% 2
Cigna Healthcare $229,094 91.6% 2
Great-West Healthcare $229,094 91.6% 2
Asr $198,347 65.9% 2
UnitedHealthcare $163,566 36.8% 2
Humana $145,945 22.1% 4
Physicians Health Plan $144,511 20.9% 1
HAP (Health Alliance Plan) $142,404 19.1% 5
Blue Shield Blue Cross $126,017 5.4% 2
MCLAREN HEALTH PLAN (MHP) COMMERCIAL $121,480 1.6% 2
Aetna $113,374 -5.2% 4
Priority Health $108,205 -9.5% 4
Blue Care Network HMO $87,443 -26.9% 4
MCLAREN ADVANTAGE SNP $51,616 -56.8% 2
BCBS of Michigan $50,353 -57.9% 2
Covenant Advantage $50,353 -57.9% 2
Senior Community Care $50,353 -57.9% 2
PARAMOUNT HEALTH CARE $50,353 -57.9% 2
Medicare (Generic) $50,353 -57.9% 2
Php Medicare Advantage $50,182 -58.0% 1
U-M Health Advantage $50,182 -58.0% 1
Sparrow Advantage $50,182 -58.0% 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.