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 27486 · GLENDIVE, MT

27486 — Revise/replace Knee Joint

What each payer pays GLENDIVE MEDICAL CENTER (CCN 271332) 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.

$21,605 All-payer median here
140 payer/plan-name variants
← This hospital National rates for 27486 →
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
   
BOON-CHAPMAN ADMINISTRATORS $42,984 99.0% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $42,984 99.0% 38
First Choice Of Midwest $42,984 99.0% 2
First Choice Livingston Hc $42,984 99.0% 2
Rci First Choice Midwest $42,984 99.0% 2
Uchealth First Choice Midwest Wy Only $42,984 99.0% 2
Health Infonet $42,984 99.0% 2
Centene $42,984 99.0% 2
First Choice Health $42,430 96.4% 10
American Continental Ins $42,098 94.9% 2
Hphc United Health $42,098 94.9% 2
ILWU-PMA Coastwise Claims Office $42,098 94.9% 2
American General Life $42,098 94.9% 2
American General Life Regional Only $42,098 94.9% 2
Neighborhood Health Plan $42,098 94.9% 2
Combined Govt Health Plan $42,098 94.9% 2
American Medical Security $42,098 94.9% 2
Ntca Bill To Uhss $42,098 94.9% 2
ONENET PPO (FORMERLY ALLIANCE PPO & MAPSI) $42,098 94.9% 2
Optum Health Cmc $42,098 94.9% 2
Oxford Life Ins $42,098 94.9% 2
Pacificare $42,098 94.9% 2
Pacificare Benefit Admin $42,098 94.9% 2
Pcip $42,098 94.9% 2
Continental Life Brentwood Mcr Supp $42,098 94.9% 2
Definity Health $42,098 94.9% 2
Avma Group Hlth And Life $42,098 94.9% 2
World Trade Center (WTC) Health Program $42,098 94.9% 2
Genworth $42,098 94.9% 2
GOLDEN RULE INSURANCE $42,098 94.9% 2
HARTFORD INSURANCE $42,098 94.9% 2
Harvard Pilgrim Health Care $42,098 94.9% 2
Bind On Demand $42,098 94.9% 2
Allianz Global Assistance $42,098 94.9% 2
Healthscope Benefits Pebp $42,098 94.9% 2
HEALTHSMART BENEFIT SOLUTIONS $42,098 94.9% 2
UMR (UnitedHealthcare TPA) $42,098 94.9% 10
Union Fidelity $42,098 94.9% 2
Unison $42,098 94.9% 2
United Behavioral Health (Optum) $42,098 94.9% 4
BCBS of Montana $42,098 94.9% 16
BCBS of North Dakota $42,098 94.9% 8
Western Teamsters Welfare Trust Bill To Bcbs $42,098 94.9% 2
GEHA (Government Employees Health Association) $42,098 94.9% 6
AvMed $42,098 94.9% 2
AARP HEALTH CARE OPTIONS $42,098 94.9% 2
Bcbs Blue Options $42,098 94.9% 2
TRUSTMARK $42,098 94.9% 2
Twashington National $42,098 94.9% 2
Bcbs Of Canada $42,098 94.9% 2
PacificSource $32,233 49.2% 14
Aetna $31,568 46.1% 36
BCBS of Wyoming $31,568 46.1% 14
Health Plan of Nevada (UHC Sierra) $26,587 23.1% 4
CareSource $26,587 23.1% 4
DESERET MUTUAL BENEFIT ADMINISTRATORS $26,587 23.1% 4
Medica $26,587 23.1% 4
UnitedHealthcare $21,605 0.0% 67
Medicare Oonwd University Care $17,282 -20.0% 2
Medicare Phoenix Health Plans Advantage $17,282 -20.0% 2
Medicare Presbyterian Senior Care $17,282 -20.0% 2
Medicare Presbyterian Senior Care Regional Only $17,282 -20.0% 2
Medicare Providence Hmo $17,282 -20.0% 2
Medicare University Physicians Care Adv Regio $17,282 -20.0% 2
Memorial Hermann Health System $17,282 -20.0% 2
Molina Healthcare $17,282 -20.0% 8
Neighborhood Health Plan of RI $17,282 -20.0% 2
Network Health, Inc. $17,282 -20.0% 2
PACE (Program of All-Inclusive Care for the Elderly) $17,282 -20.0% 2
Pdp Prime Theraputics Regional Only $17,282 -20.0% 2
Pdp Walgreens Health Initiatives Unimed $17,282 -20.0% 2
Priority Health $17,282 -20.0% 2
Regence BCBS $17,282 -20.0% 2
SCAN Health Plan - California $17,282 -20.0% 6
SILVERSCRIPT INSURANCE $17,282 -20.0% 2
Superior HealthPlan $17,282 -20.0% 2
UCare $17,282 -20.0% 2
Ultimate Healthcare Holdings, LLC $17,282 -20.0% 4
UNITED MINE WORKERS OF AMERICA HEALTH AND RETIREMENT FUNDS $17,282 -20.0% 2
UPMC Health Plan $17,282 -20.0% 2
Viva Health (Alabama) $17,282 -20.0% 2
WellCare Health Plans $17,282 -20.0% 6
Simply Healthcare Plans $17,282 -20.0% 2
Allwell (Centene Medicare Advantage) $17,282 -20.0% 2
Amerigroup $17,282 -20.0% 4
AMERIVANTAGE $17,282 -20.0% 2
Anthem BCBS of Wisconsin $17,282 -20.0% 2
ASPIRE HEALTH PLAN $17,282 -20.0% 2
ASURIS NORTHWEST HEALTH (MEDICARE ADVANTAGE) $17,282 -20.0% 2
ATRIO Health Plans $17,282 -20.0% 2
BRAND NEW DAY (FFS) $17,282 -20.0% 2
Bright Health $17,282 -20.0% 2
CARE N' CARE $17,282 -20.0% 4
CGS Administrators $17,282 -20.0% 2
Cigna Healthcare $17,282 -20.0% 16
Community Health Plan of Washington $17,282 -20.0% 2
DENVER HEALTH MEDICAL PLAN, INC. - MEDICARE CHOICE $17,282 -20.0% 2
DME MAC Jurisdiction D $17,282 -20.0% 2
Epathlink Medicare $17,282 -20.0% 2
FIDELIS CARE (CENTERCARE) $17,282 -20.0% 2
FREEDOM CLAIMS MANAGEMENT $17,282 -20.0% 2
GATEWAY HEALTH PLAN - MEDICARE ASSURED $17,282 -20.0% 2
Geisinger Health Plan $17,282 -20.0% 4
HEALTH CHOICE GENERATIONS $17,282 -20.0% 2
Healthfirst, Inc. $17,282 -20.0% 2
Health Net $17,282 -20.0% 6
HealthPartners $17,282 -20.0% 2
HEALTHSPRING $17,282 -20.0% 2
Humana $17,282 -20.0% 8
Indiana University Health Plans $17,282 -20.0% 2
Johns Hopkins Healthcare LLC $17,282 -20.0% 2
Kaiser Permanente $17,282 -20.0% 10
LASSO HEALTHCARE INSURANCE COMPANY $17,282 -20.0% 2
LOVELACE HEALTH PLAN $17,282 -20.0% 2
Medicare Blue $17,282 -20.0% 2
Medicare Blue Out Of State Regional Only $17,282 -20.0% 2
Medicare (Generic) $17,282 -20.0% 58
Medicare Hlth Alliance Med Pln $17,282 -20.0% 2
Medicare Moda Health $17,282 -20.0% 2
Medicare Oonwd Advantra $17,282 -20.0% 2
Medicare Oonwd Arizona Priority Care $17,282 -20.0% 2
Medicare Oonwd Care1st $17,282 -20.0% 2
Medicare Oonwd Caremore Health Plan $17,282 -20.0% 2
Medicare Oonwd Care Wisconsin $17,282 -20.0% 2
Medicare Oonwd Colorado Access $17,282 -20.0% 2
Medicare Oonwd Columbia Community Care $17,282 -20.0% 2
Medicare Oonwd Coventry $17,282 -20.0% 2
Medicare Oonwd Desert Canyon Community Care $17,282 -20.0% 2
Medicare Oonwd Essence Health Care $17,282 -20.0% 2
Medicare Oonwd Familycare Health Plan $17,282 -20.0% 2
Medicare Oonwd Firstcare $17,282 -20.0% 2
Medicare Oonwd Generations $17,282 -20.0% 2
Medicare Oonwd Good Samaritan $17,282 -20.0% 2
Medicare Oonwd Grp Hlth Cooperative $17,282 -20.0% 2
Medicare Oonwd Gunderson Hlth System $17,282 -20.0% 2
Medicare Oonwd Highline Medical $17,282 -20.0% 2
Medicare Oonwd Hlth Alliance Med Pln $17,282 -20.0% 2
Medicare Oonwd Hpn Medical Group $17,282 -20.0% 2
Medicare Oonwd Medigold $17,282 -20.0% 2
Medicare Oonwd Universal Health Care $17,282 -20.0% 2

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.