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 93654 · LEWISTON, NY

93654 — Compre Ep Eval Tx Vt

What each payer pays MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER (CCN 330188) 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.

$35,088 All-payer median here
$43,940 Cash / self-pay here
89 payer/plan-name variants
← This hospital National rates for 93654 →
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
   
UNITED HEALTHCARE UMR [100185] $47,909 36.5% 1
UNITED HEALTHCARE [100154] $47,909 36.5% 3
UNITED HEALTHCARE ALT [100184] $47,909 36.5% 1
MVP ESSENTIAL [100254] $43,940 25.2% 3
TUSCARORA NATION [550120] $43,940 25.2% 1
IHA FIRST CHOICE [800001] $43,940 25.2% 2
MOLINA ESSENTIAL [100167] $43,940 25.2% 6
MOLINA MEDICAID [350107] $43,940 25.2% 5
BEACON HEALTH MEDICAID [350100] $43,940 25.2% 1
BEACON HEALTH OPTIONS [100023] $43,940 25.2% 1
BEACON HEALTH OPTIONS ALT [100024] $43,940 25.2% 1
UNIVERA HEALTHCARE MEDICAID [350108] $43,940 25.2% 3
UNIVERA HEALTHCARE ESSENTIAL [100170] $43,940 25.2% 5
CRIME VICTIMS [100176] $43,940 25.2% 1
EXCELLUS ROCHESTER ESSENTIAL [100190] $43,940 25.2% 3
EXCELLUS ROCHESTER MCD [350117] $43,940 25.2% 1
AMERIGROUP MEDICAID [350002] $43,940 25.2% 1
VNA OPTION MLTC [350110] $43,940 25.2% 1
FIDELIS ESSENTIAL [100163] $43,940 25.2% 3
FIDELIS MEDICAID [350105] $43,940 25.2% 4
INDEPENDENT HEALTH [100165] $43,940 25.2% 7
INDEPENDENT HEALTH ESSENTIAL [100166] $43,940 25.2% 3
INDEPENDENT HEALTH MEDICAID [350106] $43,940 25.2% 3
INDEPENDENT HEALTH MEDICARE [450122] $43,940 25.2% 4
KALOS MEDICAID [350111] $43,940 25.2% 1
MEDICAID HMO OTHER NYS [350104] $43,940 25.2% 1
MEDICAID IN STATE [300001] $43,940 25.2% 3
MEDICAID IN STATE ALT PAYER [300002] $43,940 25.2% 1
MEDICAID OUT OF STATE [309999] $43,940 25.2% 12
BCBS ESSENTIAL [100152] $43,940 25.2% 3
MVP MCD [350114] $43,940 25.2% 1
MVP MEDICAID [350113] $43,940 25.2% 1
BEACON ESSENTIAL [350122] $43,940 25.2% 3
BLUE CROSS/BLUE SHIELD [100151] $42,787 21.9% 10
MULTIPLAN [100156] $39,546 12.7% 1
Cigna Healthcare $39,546 12.7% 2
PRIVATE HEALTHCARE SYSTEMS [100175] $39,546 12.7% 1
FIDELIS EXCHANGE [100164] $38,386 9.4% 1
UNIVERA HEALTHCARE [100169] $37,874 7.9% 9
BCBS COMMUNITY BLUE [100173] $37,221 6.1% 7
Meritain Health $32,955 -6.1% 1
MAGNACARE [100142] $32,955 -6.1% 1
GHI [100153] $32,955 -6.1% 1
Aetna $32,955 -6.1% 3
BCBS MEDICARE [450116] $29,025 -17.3% 6
HUMANA MEDICARE [450130] $26,870 -23.4% 3
AETNA MEDICARE HMO [450112] $26,870 -23.4% 1
WELLCARE [450129] $26,870 -23.4% 2
UNIVERA HEALTHCARE MEDICARE [450124] $26,650 -24.0% 3
KALOS MEDICARE [450126] $26,614 -24.2% 1
UnitedHealthcare $26,614 -24.2% 6
FIDELIS MEDICARE [450121] $26,486 -24.5% 1
FIDELIS DUAL ADVANTAGE [450120] $26,486 -24.5% 2
WELLCARE FIDELIS DUAL [450451] $26,486 -24.5% 3
UPMC HEALTH PLAN [100181] $26,364 -24.9% 1
CIGNA MEDICARE HMO [450113] $25,590 -27.1% 1
CATHOLIC HEALTH LIFE PACE [400005] $25,590 -27.1% 1
CATHOLIC HEALTH LIFE PACE MEDICAID [300005] $25,590 -27.1% 1
CHAMP VA [700002] $25,590 -27.1% 1
COVID19 HRSA [45013] $25,590 -27.1% 1
EXCELLUS ROCHESTER MEDICARE [450128] $25,590 -27.1% 1
FALLON HEALTH [450115] $25,590 -27.1% 1
FEDERAL WORKERS COMPENSATION [500100] $25,590 -27.1% 3
MEDICARE COVID VAC ALT [40000101] $25,590 -27.1% 1
Medicare (Generic) $25,590 -27.1% 5
MEDICARE HMO OTHER [450117] $25,590 -27.1% 4
SENECA NATION [450119] $25,590 -27.1% 1
TRICARE [600100] $25,590 -27.1% 3
VA VETERANS AFFAIRS [700001] $25,590 -27.1% 4
MVP HEALTHCARE [100168] $25,485 -27.4% 1
ROOFERS LOCAL 74 [100155] $25,046 -28.6% 1
BAKER/CONFECTIONARY UNION [100158] $25,046 -28.6% 1
CORE SOURCE [100161] $25,046 -28.6% 1
Humana $25,046 -28.6% 3
FIREMAN'S FUND [100162] $25,046 -28.6% 1
COMMERCIAL - OTHER [100172] $25,046 -28.6% 15
AARP HEALTH CARE OPTIONS $25,046 -28.6% 1
BOILERMAKERS NATL. HEALTH [100159] $25,046 -28.6% 1
AFFINITY HEALTH PLAN [100129] $25,046 -28.6% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $25,046 -28.6% 1
MVP GOLD MEDICARE [450123] $24,606 -29.9% 1
UNITED HEALTHCARE ESSENTIAL [100253] $18,835 -46.3% 3
UNITED HEALTHCARE MEDICAID [350101] $15,696 -55.3% 1
BCBS MEDICAID [350103] $2,458 -93.0% 1
AMERIGROUP [350102] $2,458 -93.0% 3
NO FAULT [114001] $2,078 -94.1% 14
BEACON HEALTH MEDICARE [450127] $949 -97.3% 1
HOSPICE [550001] $930 -97.3% 2
OVS-FRE [100178] $800 -97.7% 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.