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 35081 · CRYSTAL CITY, MO

35081 — Repair Defect Of Artery

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.

$24,004 All-payer median here
$40,008 Cash / self-pay here
37 payer/plan-name variants
← This hospital National rates for 35081 →
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
   
MERCY MANAGED BH MEDICARE CONTRACTED [320499] $61,550 156.4% 1
Humana $51,086 112.8% 1
Cigna Healthcare $50,286 109.5% 3
WORKERS COMP [20426] $47,701 98.7% 2
HOPE TRUST CONTRACTED [320488] $43,085 79.5% 1
PREFERRED HEALTH PLAN CONTRACTED [320522] $43,085 79.5% 1
Insurance Systems, Inc. $40,008 66.7% 1
Devoted Health $40,008 66.7% 1
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $40,008 66.7% 1
FEDERAL MEDICAL CENTER CONTRACTED [320127] $40,008 66.7% 1
POINT C / MID-AMERICAN BENEFITS $40,008 66.7% 1
MultiPlan $39,469 64.4% 2
First Health Network $38,238 59.3% 2
HEALTH CHOICES CONTRACTED [320448] $36,930 53.8% 1
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $36,930 53.8% 1
HEALTH CHOICES [20448] $36,930 53.8% 1
HEALTHLINK PPO $32,929 37.2% 2
MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] $32,775 36.5% 1
PHCS (Private Healthcare Systems) $32,775 36.5% 1
YUZU HEALTH CONTRACTED [320521] $24,004 0.0% 2
AITHER HEALTH $24,004 0.0% 5
AUXIANT $24,004 0.0% 4
EDISON HEALTH SOLUTIONS $24,004 0.0% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $24,004 0.0% 1
IMAGINE360 ADMINISTRATORS (GPA) $24,004 0.0% 1
MERCY BENEFIT ADMINISTRATION $24,004 0.0% 17
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $24,004 0.0% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $24,004 0.0% 2
Aetna $16,742 -30.3% 3
Medica $16,065 -33.1% 1
AETNA MEDICAID [20009] $9,232 -61.5% 1
Medicaid (Generic) $9,232 -61.5% 1
COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] $9,232 -61.5% 1
MC ANTHEM [20455] $6,923 -71.2% 2
BLUE CROSS AND BLUE SHIELD [20053] $4,475 -81.4% 6
Meridian Health Plan of Illinois $4,001 -83.3% 1
Molina Healthcare $4,001 -83.3% 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.