Payer comparison · OTHER 219 · JAMAICA, NY

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc

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.

$107,647 All-payer median here

28 payer/plan-name variants

← This hospital National rates for 219 →

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	$183,441	70.4%	1
Oscar Health	$148,250	37.7%	1
Centivo	$144,828	34.5%	1
Cigna Healthcare	$137,565	27.8%	1
Aetna	$137,066	27.3%	4
Group Health Insurance (GHI) of NY	$136,501	26.8%	2
1199 NATIONAL BENEFIT FUND	$126,377	17.4%	1
Hip	$121,436	12.8%	2
Magnacare	$117,063	8.7%	1
Centers Plan For Healthy Living	$114,010	5.9%	1
HAMASPIK CHOICE	$111,974	4.0%	1
Senior Whole Health	$111,974	4.0%	1
UnitedHealthcare	$111,958	4.0%	2
EmblemHealth	$111,087	3.2%	1
Humana	$108,411	0.7%	2
Metroplus	$106,884	-0.7%	2
Villagecaremax	$106,884	-0.7%	1
Anthem BCBS of New York	$104,848	-2.6%	1
Vns	$103,830	-3.5%	1
Elderplan, Inc.	$101,794	-5.4%	1
CenterLight Health System, Inc.	$101,794	-5.4%	1
Centene	$101,794	-5.4%	1
Healthfirst	$101,794	-5.4%	3
Beacon Health Strategies	$101,794	-5.4%	1
Anthem (Elevance Health)	$101,794	-5.4%	1
WellCare Health Plans	$101,794	-5.4%	1
World Trade Center Program	$11,490	-89.3%	1
NY Hotel Trades Council&Hotel Assn of NYC	$1,912	-98.2%	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.