Payer comparison · CPT 016 · FAR ROCKAWAY, NY

016 — Autologous Bone Marrow Transplant With Cc/mcc

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.

$82,001 All-payer median here

24 payer/plan-name variants

← This hospital National rates for 016 →

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	$113,304	38.2%	4
Magnacare	$108,447	32.3%	1
AFFINITY HEALTH PLAN	$104,509	27.4%	2
Centene	$104,509	27.4%	4
Metroplus	$104,509	27.4%	5
Healthfirst	$104,509	27.4%	5
MultiPlan	$104,509	27.4%	1
Healthplus	$104,509	27.4%	1
Hamaspik	$92,256	12.5%	2
Molina Healthcare	$88,003	7.3%	1
Cigna Healthcare	$82,318	0.4%	1
1199 NATIONAL BENEFIT FUND	$81,684	-0.4%	1
Blue Cross Blue Shield Association	$81,177	-1.0%	3
Humana	$80,003	-2.4%	1
Longevity	$80,003	-2.4%	1
Lucida	$80,003	-2.4%	1
Centers Plan For Healthy Living	$80,003	-2.4%	1
CenterLight Health System, Inc.	$80,003	-2.4%	1
WellCare Health Plans	$80,003	-2.4%	1
Village Care Max	$80,003	-2.4%	1
Elderplan, Inc.	$80,003	-2.4%	1
Vns	$78,003	-4.9%	2
Aetna	$77,767	-5.2%	3
UnitedHealthcare	$72,520	-11.6%	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.