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 →

Payer comparison · HCPCS 25607 · FOREST, MS

25607 — Optx Dst Rd Xartc Fx/epi Sep

What each payer pays S E LACKEY MEMORIAL HOSPITAL (CCN 251300) 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.

$6,542 All-payer median here
$15,575 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 25607 →
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
   
MultiPlan $14,018 114.3% 1
HealthPartners $12,927 97.6% 1
BCBS COMM - ALL OTHER PLANS $12,732 94.6% 1
First Health Network $12,460 90.5% 1
CORVEL $8,010 22.4% 2
Magnolia Health Plan $6,542 0.0% 5
BCBS AHS $5,891 -9.9% 2
UnitedHealthcare $4,383 -33.0% 6
WellCare Health Plans $3,589 -45.1% 2
VA / CHAMPVA $3,589 -45.1% 2
Cigna Healthcare $1,266 -80.6% 2
Aetna $500 -92.4% 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.