Payer comparison · OTHER 004 · JAMAICA, NY

004 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

What each payer pays JAMAICA HOSPITAL MEDICAL CENTER (CCN 330014) 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.

$191,551 All-payer median here

28 payer/plan-name variants

← This hospital National rates for 004 →

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

Create Health Plan	$334,994	74.9%	1
Oscar Health	$270,731	41.3%	1
Centivo	$264,482	38.1%	1
Cigna Healthcare	$251,217	31.1%	1
Aetna	$250,306	30.7%	4
Group Health Insurance (GHI) of NY	$246,895	28.9%	2
1199 NATIONAL BENEFIT FUND	$230,785	20.5%	1
Hip	$219,384	14.5%	2
Magnacare	$208,306	8.7%	1
Centers Plan For Healthy Living	$202,872	5.9%	1
EmblemHealth	$202,864	5.9%	1
UnitedHealthcare	$202,075	5.5%	2
HAMASPIK CHOICE	$199,250	4.0%	1
Senior Whole Health	$199,250	4.0%	1
Humana	$192,910	0.7%	2
Villagecaremax	$190,193	-0.7%	1
Metroplus	$190,193	-0.7%	2
Anthem BCBS of New York	$186,570	-2.6%	1
Vns	$184,759	-3.5%	1
Elderplan, Inc.	$181,136	-5.4%	1
Healthfirst	$181,136	-5.4%	3
Centene	$181,136	-5.4%	1
Beacon Health Strategies	$181,136	-5.4%	1
Anthem (Elevance Health)	$181,136	-5.4%	1
WellCare Health Plans	$181,136	-5.4%	1
CenterLight Health System, Inc.	$181,136	-5.4%	1
World Trade Center Program	$20,983	-89.0%	1
NY Hotel Trades Council&Hotel Assn of NYC	$1,912	-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.