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 49565 · PILOT KNOB, MO

49565 — Rerepair Ventrl Hern Reduce

What each payer pays IRON COUNTY MEDICAL CENTER (CCN 261336) 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.

$2,045 All-payer median here
$5,908 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 49565 →
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
   
Anthem (Elevance Health) $4,595 124.7% 1
HEALTHLINK PPO $4,595 124.7% 1
Cigna Healthcare $3,939 92.6% 1
Aetna $3,643 78.1% 2
Humana $3,325 62.6% 2
WellCare Health Plans $2,096 2.5% 1
Blue Cross - Medicare Advantage $2,035 -0.5% 1
Provider Partners Health Plan (PPHP) $2,035 -0.5% 1
Centene $2,035 -0.5% 1
UnitedHealthcare $2,035 -0.5% 1
VA / CHAMPVA $2,035 -0.5% 1
TRICARE $2,035 -0.5% 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.