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 · PILOT KNOB, MO

63685 — Ins/rplc Spi Npg/rcvr Pocket

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.

$7,243 All-payer median here
$8,149 Cash / self-pay here
12 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
   
HEALTHLINK PPO $13,893 91.8% 2
Anthem (Elevance Health) $13,666 88.7% 2
Cigna Healthcare $11,714 61.7% 2
Aetna $8,270 14.2% 4
Humana $7,864 8.6% 4
WellCare Health Plans $6,234 -13.9% 2
Blue Cross - Medicare Advantage $6,052 -16.4% 2
Provider Partners Health Plan (PPHP) $6,052 -16.4% 2
Centene $6,052 -16.4% 2
VA / CHAMPVA $6,052 -16.4% 2
TRICARE $6,052 -16.4% 2
UnitedHealthcare $2,807 -61.3% 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.