Payer comparison · CPT 231 · FAR ROCKAWAY, NY

231 — Coronary Bypass With Ptca 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.

$114,321 All-payer median here

24 payer/plan-name variants

← This hospital National rates for 231 →

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	$159,070	39.1%	4
Magnacare	$152,251	33.2%	1
MultiPlan	$146,721	28.3%	1
Healthplus	$146,721	28.3%	1
Healthfirst	$146,721	28.3%	5
AFFINITY HEALTH PLAN	$146,721	28.3%	2
Centene	$146,721	28.3%	4
Hamaspik	$130,139	13.8%	2
Molina Healthcare	$124,912	9.3%	1
Cigna Healthcare	$115,567	1.1%	1
1199 NATIONAL BENEFIT FUND	$114,677	0.3%	1
Blue Cross Blue Shield Association	$113,965	-0.3%	3
Centers Plan For Healthy Living	$113,556	-0.7%	1
Humana	$113,556	-0.7%	1
Longevity	$113,556	-0.7%	1
Lucida	$113,556	-0.7%	1
CenterLight Health System, Inc.	$113,556	-0.7%	1
Metroplus	$113,556	-0.7%	5
WellCare Health Plans	$113,556	-0.7%	1
Village Care Max	$113,556	-0.7%	1
Elderplan, Inc.	$113,556	-0.7%	1
Vns	$110,717	-3.2%	2
Aetna	$109,178	-4.5%	3
UnitedHealthcare	$102,431	-10.4%	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.