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 →

Payer comparison · HCPCS C1772 · LEBANON, MO

C1772 — Pump Infuse Pain Mgmt 40ml Synchromed Ii Programmable

What each payer pays MERCY HOSPITAL LEBANON (CCN 260059) 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.

$18,000 All-payer median here
$14,625 Cash / self-pay here
41 payer/plan-name variants
← This hospital National rates for C1772 →
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 CONTRACTED [320270] $21,375 18.8% 1
PHCS (Private Healthcare Systems) $21,375 18.8% 1
USA MANAGED CARE ORG CONTRACTED [320429] $19,800 10.0% 1
Humana $19,125 6.2% 1
AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] $19,125 6.2% 1
WORKERS COMP [20426] $18,562 3.1% 4
EBMS CONTRACTED [320493] $18,000 0.0% 1
AITHER HEALTH CONTRACTED [320449] $18,000 0.0% 2
AUXIANT CONTRACTED [320462] $18,000 0.0% 4
BENEFIT MANAGEMENT CONTRACTED [320052] $18,000 0.0% 1
EDISON HEALTH SOLUTIONS CONTRACTED [320502] $18,000 0.0% 1
EVOLUTIONS HEALTHCARE SYSTEMS $18,000 0.0% 1
First Health Network $18,000 0.0% 1
HEALTH SYSTEMS INC CONTRACTED [320174] $18,000 0.0% 1
HEALTHLINK PPO $18,000 0.0% 4
IMAGINE360 ADMINISTRATORS (GPA) $18,000 0.0% 1
INSURANCE SYSTEM INC CONTRACTED [320465] $18,000 0.0% 1
MERCY BENEFIT ADMIN CONTRACTED [320251] $18,000 0.0% 9
POINT C / MID-AMERICAN BENEFITS $18,000 0.0% 9
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $18,000 0.0% 1
YUZU HEALTH CONTRACTED [320521] $18,000 0.0% 2
UMR (UnitedHealthcare TPA) $17,438 -3.1% 2
90 DEGREE BENEFITS CONTRACTED [320436] $16,875 -6.2% 1
UnitedHealthcare $16,875 -6.2% 3
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $16,875 -6.2% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $16,875 -6.2% 2
Cigna Healthcare $16,650 -7.5% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $14,625 -18.8% 1
NOVASYS CONTRACTED [320285] $10,125 -43.8% 1
MC ANTHEM [20455] $10,125 -43.8% 2
AMBETTER CONTRACTED [320452] $10,125 -43.8% 1
Aetna $10,125 -43.8% 1
ADMINISTRATIVE PAYOR CONTRACTED [320005] $10,125 -43.8% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $10,125 -43.8% 1
MC GENERIC ANTHEM [20456] $10,125 -43.8% 1
Home State Health (Centene Missouri Medicaid) $10,125 -43.8% 1
BLUE CROSS AND BLUE SHIELD [20053] $10,125 -43.8% 5
Medica $8,888 -50.6% 1
MEDICA [20239] $8,888 -50.6% 1
KANCARE [20213] $5,625 -68.8% 1
KANCARE CONTRACTED [320213] $5,625 -68.8% 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.