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 63685 · SAINT LOUIS, MO

63685 — Ins/rplc Spi Npg/rcvr Pocket

What each payer pays MERCY HOSPITAL SOUTH (CCN 260077) 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.

$30,320 All-payer median here
$46,343 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 63685 →
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] $71,298 135.1% 1
HOPE TRUST CONTRACTED [320488] $69,542 129.4% 1
WORKERS COMP [20426] $55,256 82.2% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $54,088 78.4% 1
MultiPlan $53,473 76.4% 1
CENTIVO CONTRACTED [320505] $50,997 68.2% 1
First Health Network $50,978 68.1% 2
UnitedHealthcare $49,931 64.7% 5
UMR (UnitedHealthcare TPA) $49,931 64.7% 1
FEDERAL MEDICAL CENTER CONTRACTED [320127] $46,343 52.8% 1
Insurance Systems, Inc. $46,343 52.8% 1
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $46,343 52.8% 1
POINT C / MID-AMERICAN BENEFITS $46,343 52.8% 1
HEALTH CHOICES [20448] $42,779 41.1% 1
HEALTH CHOICES CONTRACTED [320448] $42,779 41.1% 1
MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] $42,779 41.1% 1
United Behavioral Health (Optum) $42,204 39.2% 1
Cigna Healthcare $41,008 35.2% 4
UnitedHealthcare Community Plan $33,772 11.4% 1
Provider Partners Health Plan (PPHP) $33,411 10.2% 1
ST JOHNS MERCY REHAB LLC CONTRACTED [320359] $33,411 10.2% 1
Devoted Health $31,532 4.0% 1
HEALTHSPRING $30,926 2.0% 1
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $30,908 1.9% 1
WellCare Health Plans $30,784 1.5% 2
PACE OF THE OZARKS $30,320 0.0% 1
American Health Advantage of Missouri $30,320 0.0% 1
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $30,320 0.0% 1
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $30,320 0.0% 1
CROSS TIMBERS HOSPICE [20098] $30,320 0.0% 1
ELARA CARING ASPIRE HOSPICE [20433] $30,320 0.0% 1
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $30,320 0.0% 1
GENERIC MEDICARE MANAGED CARE [20137] $30,320 0.0% 1
GLOBAL HEALTH $30,320 0.0% 1
HALO HCR INC HOSPICE [20432] $30,320 0.0% 1
HALO HCR INC HOSPICE CONTRACTED [320432] $30,320 0.0% 1
Humana $30,320 0.0% 3
KINDFUL HOSPICE [20434] $30,320 0.0% 1
KINDFUL HOSPICE CONTRACTED [320434] $30,320 0.0% 1
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $30,320 0.0% 1
Medica Holding Company $30,320 0.0% 1
Medicare (Generic) $30,320 0.0% 1
MERCY HOSPICE OKC [20252] $30,320 0.0% 1
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $30,320 0.0% 1
ACENTRA HEALTH CONTRACTED [320527] $30,320 0.0% 1
Prominence Health Plan $30,320 0.0% 1
QUALCHOICE ADVANTAGE $30,320 0.0% 1
TRICARE $30,320 0.0% 1
VA COMMUNITY CARE NETWORK $30,320 0.0% 1
Home State Health (Centene Missouri Medicaid) $27,537 -9.2% 1
HEALTHLINK PPO $27,335 -9.8% 2
MEDICAID PENDING [20241] $26,758 -11.8% 2
BCBS MEDICAID CONTRACTED [320046] $25,978 -14.3% 1
MO HealthNet (Missouri Medicaid) $25,978 -14.3% 1
Aetna $20,507 -32.4% 4
Medicaid (Generic) $18,336 -39.5% 2
Medica $14,754 -51.3% 1
MC ANTHEM [20455] $12,166 -59.9% 2
COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] $10,695 -64.7% 1
AETNA MEDICAID [20009] $10,695 -64.7% 1
BLUE CROSS AND BLUE SHIELD [20053] $9,388 -69.0% 7
MERCY BENEFIT ADMINISTRATION $6,187 -79.6% 17
EDISON HEALTH SOLUTIONS $6,187 -79.6% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $6,187 -79.6% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $6,187 -79.6% 1
YUZU HEALTH CONTRACTED [320521] $6,187 -79.6% 2
AITHER HEALTH $6,187 -79.6% 5
AUXIANT $6,187 -79.6% 4
IMAGINE360 ADMINISTRATORS (GPA) $6,187 -79.6% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $6,156 -79.7% 2
Meridian Health Plan of Illinois $4,634 -84.7% 1
Molina Healthcare $4,634 -84.7% 3
INDIAN HEALTH SERVICES $309 -99.0% 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.