Payer comparison · CPT 028 · FAR ROCKAWAY, NY

028 — Spinal Procedures With 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.

$82,593 All-payer median here

24 payer/plan-name variants

← This hospital National rates for 028 →

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	$114,123	38.2%	4
Magnacare	$109,230	32.3%	1
AFFINITY HEALTH PLAN	$105,264	27.4%	2
Centene	$105,264	27.4%	4
Metroplus	$105,264	27.4%	5
Healthfirst	$105,264	27.4%	5
MultiPlan	$105,264	27.4%	1
Healthplus	$105,264	27.4%	1
Hamaspik	$93,160	12.8%	2
Molina Healthcare	$89,163	8.0%	1
Cigna Healthcare	$82,912	0.4%	1
1199 NATIONAL BENEFIT FUND	$82,274	-0.4%	1
Blue Cross Blue Shield Association	$81,763	-1.0%	3
Humana	$81,058	-1.9%	1
Longevity	$81,058	-1.9%	1
Lucida	$81,058	-1.9%	1
Centers Plan For Healthy Living	$81,058	-1.9%	1
CenterLight Health System, Inc.	$81,058	-1.9%	1
WellCare Health Plans	$81,058	-1.9%	1
Village Care Max	$81,058	-1.9%	1
Elderplan, Inc.	$81,058	-1.9%	1
Vns	$79,031	-4.3%	2
Aetna	$78,328	-5.2%	3
UnitedHealthcare	$73,282	-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.