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 · CPT 0825T · CRYSTAL CITY, MO

0825T — Tcat Rmv&rpl1chmb Ldls Pm Ra

What each payer pays MERCY HOSPITAL JEFFERSON (CCN 260023) 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.

$15,529 All-payer median here
$16,150 Cash / self-pay here
69 payer/plan-name variants
← This hospital National rates for 0825T →
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
   
HOPE TRUST CONTRACTED [320488] $43,409 179.5% 1
PREFERRED HEALTH PLAN CONTRACTED [320522] $33,762 117.4% 1
CENTIVO CONTRACTED [320505] $31,833 105.0% 1
UnitedHealthcare $31,168 100.7% 5
United Behavioral Health (Optum) $31,168 100.7% 1
UMR (UnitedHealthcare TPA) $31,168 100.7% 1
MERCY MANAGED BH MEDICARE CONTRACTED [320499] $24,846 60.0% 1
HealthSCOPE Benefits EHC Repricing $24,116 55.3% 1
Provider Partners Health Plan (PPHP) $20,856 34.3% 1
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $19,891 28.1% 1
Cigna Healthcare $19,802 27.5% 4
Devoted Health $19,682 26.7% 1
HEALTHSPRING $19,304 24.3% 1
WORKERS COMP [20426] $19,256 24.0% 2
WellCare Health Plans $19,216 23.7% 2
MERCY HOSPICE OKC [20252] $18,926 21.9% 1
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $18,926 21.9% 1
American Health Advantage of Missouri $18,926 21.9% 1
VA COMMUNITY CARE NETWORK $18,926 21.9% 1
BCBS MEDICARE ADVANTAGE [20047] $18,926 21.9% 1
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $18,926 21.9% 1
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $18,926 21.9% 1
CROSS TIMBERS HOSPICE [20098] $18,926 21.9% 1
ELARA CARING ASPIRE HOSPICE [20433] $18,926 21.9% 1
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $18,926 21.9% 1
GENERIC MEDICARE MANAGED CARE [20137] $18,926 21.9% 1
GLOBAL HEALTH $18,926 21.9% 1
HALO HCR INC HOSPICE [20432] $18,926 21.9% 1
HALO HCR INC HOSPICE CONTRACTED [320432] $18,926 21.9% 1
QUALCHOICE ADVANTAGE $18,926 21.9% 1
KINDFUL HOSPICE CONTRACTED [320434] $18,926 21.9% 1
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $18,926 21.9% 1
Prominence Health Plan $18,926 21.9% 1
Medica Holding Company $18,926 21.9% 1
ACENTRA HEALTH CONTRACTED [320527] $18,926 21.9% 1
Medicare (Generic) $18,926 21.9% 1
PACE OF THE OZARKS $18,926 21.9% 1
Humana $18,926 21.9% 3
KINDFUL HOSPICE [20434] $18,926 21.9% 1
Aetna $16,272 4.8% 4
FEDERAL MEDICAL CENTER CONTRACTED [320127] $16,150 4.0% 1
POINT C / MID-AMERICAN BENEFITS $16,150 4.0% 1
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $16,150 4.0% 1
Insurance Systems, Inc. $16,150 4.0% 1
MultiPlan $15,932 2.6% 2
First Health Network $15,436 -0.6% 2
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $14,908 -4.0% 1
HEALTH CHOICES [20448] $14,908 -4.0% 1
HEALTH CHOICES CONTRACTED [320448] $14,908 -4.0% 1
MC ANTHEM [20455] $14,549 -6.3% 2
HEALTHLINK PPO $13,293 -14.4% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $13,230 -14.8% 1
PHCS (Private Healthcare Systems) $13,230 -14.8% 1
BLUE CROSS AND BLUE SHIELD [20053] $9,701 -37.5% 6
YUZU HEALTH CONTRACTED [320521] $9,690 -37.6% 2
MERCY BENEFIT ADMINISTRATION $9,690 -37.6% 17
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $9,690 -37.6% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $9,690 -37.6% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $9,690 -37.6% 1
EDISON HEALTH SOLUTIONS $9,690 -37.6% 2
AUXIANT $9,690 -37.6% 4
AITHER HEALTH $9,690 -37.6% 5
IMAGINE360 ADMINISTRATORS (GPA) $9,690 -37.6% 1
Medica $6,809 -56.2% 1
Medicaid (Generic) $3,727 -76.0% 1
COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] $3,727 -76.0% 1
AETNA MEDICAID [20009] $3,727 -76.0% 1
Molina Healthcare $1,615 -89.6% 3
Meridian Health Plan of Illinois $1,615 -89.6% 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.