Payer comparison · CPT 456 · FAR ROCKAWAY, NY

456 — Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions 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.

$115,058 All-payer median here

24 payer/plan-name variants

← This hospital National rates for 456 →

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	$158,982	38.2%	4
Magnacare	$152,166	32.3%	1
AFFINITY HEALTH PLAN	$146,640	27.4%	2
Centene	$146,640	27.4%	4
Metroplus	$146,640	27.4%	5
Healthfirst	$146,640	27.4%	5
MultiPlan	$146,640	27.4%	1
Healthplus	$146,640	27.4%	1
Hamaspik	$129,920	12.9%	2
Molina Healthcare	$124,520	8.2%	1
Cigna Healthcare	$115,503	0.4%	1
1199 NATIONAL BENEFIT FUND	$114,614	-0.4%	1
Blue Cross Blue Shield Association	$113,902	-1.0%	3
Humana	$113,200	-1.6%	1
Longevity	$113,200	-1.6%	1
Lucida	$113,200	-1.6%	1
Centers Plan For Healthy Living	$113,200	-1.6%	1
CenterLight Health System, Inc.	$113,200	-1.6%	1
WellCare Health Plans	$113,200	-1.6%	1
Village Care Max	$113,200	-1.6%	1
Elderplan, Inc.	$113,200	-1.6%	1
Vns	$110,370	-4.1%	2
Aetna	$109,117	-5.2%	3
UnitedHealthcare	$102,228	-11.2%	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.