Payer comparison · CPT 457 · FAR ROCKAWAY, NY

457 — Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc

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.

$80,451 All-payer median here

24 payer/plan-name variants

← This hospital National rates for 457 →

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	$107,739	33.9%	4
Magnacare	$103,120	28.2%	1
Healthplus	$99,375	23.5%	1
AFFINITY HEALTH PLAN	$99,375	23.5%	2
MultiPlan	$99,375	23.5%	1
Centene	$99,375	23.5%	4
Metroplus	$99,375	23.5%	5
Healthfirst	$99,375	23.5%	5
Hamaspik	$89,913	11.8%	2
Molina Healthcare	$88,496	10.0%	1
WellCare Health Plans	$80,451	0.0%	1
Blue Cross Blue Shield Association	$80,451	0.0%	3
CenterLight Health System, Inc.	$80,451	0.0%	1
Centers Plan For Healthy Living	$80,451	0.0%	1
Elderplan, Inc.	$80,451	0.0%	1
Humana	$80,451	0.0%	1
Longevity	$80,451	0.0%	1
Lucida	$80,451	0.0%	1
Village Care Max	$80,451	0.0%	1
Vns	$78,440	-2.5%	2
Cigna Healthcare	$78,274	-2.7%	1
1199 NATIONAL BENEFIT FUND	$77,671	-3.5%	1
Aetna	$75,941	-5.6%	3
UnitedHealthcare	$71,146	-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.