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 40812 · POPLAR, MT

40812 — Excise/repair Mouth Lesion

What each payer pays POPLAR COMMUNITY HOSPITAL (CCN 271300) 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.

$5,116 All-payer median here
$4,039 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for 40812 →
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
   
ALLEGIANCE MEDICARE RBPHP $9,136 78.6% 1
BCBS MCR ADV $5,386 5.3% 1
Aetna $5,224 2.1% 1
MOUNTAIN HEALTH - ALL PLANS $5,224 2.1% 1
BCBS COMM - ALL OTHER PLANS $5,116 0.0% 1
ALLEGIANCE-ALL OTHER PLANS $5,116 0.0% 1
PacificSource $5,116 0.0% 1
COVENTRY/FIRST HEALTH - ALL PLANS $4,847 -5.3% 1
Health Net $4,847 -5.3% 1
UnitedHealthcare $1,784 -65.1% 2
INDIAN HEALTH SERVICES $265 -94.8% 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.