Payer comparison · CPT 005 · FAR ROCKAWAY, NY

005 — Liver Transplant With Mcc Or Intestinal Transplant

What each payer pays ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE (CCN 330395) 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.

$144,677 All-payer median here

24 payer/plan-name variants

← This hospital National rates for 005 →

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

EmblemHealth	$199,908	38.2%	4
Magnacare	$191,338	32.3%	1
AFFINITY HEALTH PLAN	$184,389	27.4%	2
Centene	$184,389	27.4%	4
Metroplus	$184,389	27.4%	5
Healthfirst	$184,389	27.4%	5
MultiPlan	$184,389	27.4%	1
Healthplus	$184,389	27.4%	1
Hamaspik	$161,592	11.7%	2
Molina Healthcare	$152,674	5.5%	1
Cigna Healthcare	$145,237	0.4%	1
1199 NATIONAL BENEFIT FUND	$144,118	-0.4%	1
Blue Cross Blue Shield Association	$143,224	-1.0%	3
Humana	$138,794	-4.1%	1
Longevity	$138,794	-4.1%	1
Lucida	$138,794	-4.1%	1
Centers Plan For Healthy Living	$138,794	-4.1%	1
CenterLight Health System, Inc.	$138,794	-4.1%	1
WellCare Health Plans	$138,794	-4.1%	1
Village Care Max	$138,794	-4.1%	1
Elderplan, Inc.	$138,794	-4.1%	1
Aetna	$137,207	-5.2%	3
Vns	$135,324	-6.5%	2
UnitedHealthcare	$126,771	-12.4%	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.