Price Transparency 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 007 · FAR ROCKAWAY, NY

007 — Lung 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.

$177,546 All-payer median here
24 payer/plan-name variants
← This hospital National rates for 007 →
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 $245,324 38.2% 4
Magnacare $234,807 32.3% 1
AFFINITY HEALTH PLAN $226,280 27.4% 2
Centene $226,280 27.4% 4
Metroplus $226,280 27.4% 5
Healthfirst $226,280 27.4% 5
MultiPlan $226,280 27.4% 1
Healthplus $226,280 27.4% 1
Hamaspik $200,250 12.8% 2
Molina Healthcare $191,642 7.9% 1
Cigna Healthcare $178,232 0.4% 1
1199 NATIONAL BENEFIT FUND $176,860 -0.4% 1
Blue Cross Blue Shield Association $175,762 -1.0% 3
Humana $174,220 -1.9% 1
Longevity $174,220 -1.9% 1
Lucida $174,220 -1.9% 1
Centers Plan For Healthy Living $174,220 -1.9% 1
CenterLight Health System, Inc. $174,220 -1.9% 1
WellCare Health Plans $174,220 -1.9% 1
Village Care Max $174,220 -1.9% 1
Elderplan, Inc. $174,220 -1.9% 1
Vns $169,864 -4.3% 2
Aetna $168,378 -5.2% 3
UnitedHealthcare $157,518 -11.3% 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.