Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS Q0480 · SMITHTOWN, NY

Q0480 — Dme Pos

What each payer pays ST CATHERINE OF SIENA HOSPITAL (CCN 330401) 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.

$144,366 All-payer median here
70 payer/plan-name variants
← This hospital National rates for Q0480 →
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
   
Ultra Benefits Inc. $225,000 55.9% 1
American Plan Administrators $225,000 55.9% 1
Group Health Insurance (GHI) of NY $225,000 55.9% 1
International Benefit Administrator $225,000 55.9% 1
Amerihealth Administrators $225,000 55.9% 1
Benefit Services $225,000 55.9% 1
Health First $175,000 21.2% 3
Galaxy $152,933 5.9% 2
Oscar Health $152,933 5.9% 2
Three Rivers Provider Network $152,933 5.9% 2
1199 NATIONAL BENEFIT FUND $152,933 5.9% 2
Centivo $144,366 0.0% 3
Cigna Healthcare $144,366 0.0% 5
Comprehensive Benefits Consultant $144,366 0.0% 1
Daniel H Cook $144,366 0.0% 1
Dentaquest $144,366 0.0% 2
SAMBA $144,366 0.0% 1
Aetna $144,366 0.0% 10
AITHER HEALTH $144,366 0.0% 1
Allied Wellfare Fund $144,366 0.0% 1
ALPHA CARE MEDICAL GROUP $144,366 0.0% 1
American Group Administrators $144,366 0.0% 1
Anthem (Elevance Health) $144,366 0.0% 1
Anthem BCBS of New York $144,366 0.0% 10
APWU $144,366 0.0% 1
Bakery & Confectionery Union $144,366 0.0% 1
Brighton $144,366 0.0% 9
Guardian Life Insurance Company Of America $144,366 0.0% 1
Health Plus $144,366 0.0% 16
Magellan Health $144,366 0.0% 2
Mail Handlers Benefit Plan $144,366 0.0% 1
Maloney and Assoc $144,366 0.0% 1
Meritain Health $144,366 0.0% 1
MultiPlan $144,366 0.0% 1
Nalc $144,366 0.0% 1
Nippon Life Insurance Company Of America $144,366 0.0% 1
Performax $144,366 0.0% 1
PHCS (Private Healthcare Systems) $144,366 0.0% 1
POMCO Group $144,366 0.0% 1
Salvation Army $144,366 0.0% 1
Self Pay $144,366 0.0% 1
Surest (UHC) $144,366 0.0% 1
TPA Inc $144,366 0.0% 1
UMR (UnitedHealthcare TPA) $144,366 0.0% 1
United Employees Health Plan $144,366 0.0% 1
UnitedHealthcare $144,366 0.0% 19
Zadroga $141,110 -2.3% 2
Beacon Health Strategies $140,000 -3.0% 14
US Family Health Plan $130,750 -9.4% 2
Mvp Health Plans $122,183 -15.4% 2
WellCare Health Plans $110,000 -23.8% 2
VNS CHOICE (NY) $105,000 -27.3% 2
Partners Health Plan $105,000 -27.3% 2
AgeWell PACE $103,500 -28.3% 2
Humana $102,000 -29.3% 3
Universal Healthcare $100,000 -30.7% 3
Senior Whole Health $100,000 -30.7% 2
Medicare (Generic) $100,000 -30.7% 2
VA / CHAMPVA $100,000 -30.7% 2
TRICARE $100,000 -30.7% 2
Centers Plan For Healthy Living $100,000 -30.7% 1
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN $100,000 -30.7% 1
PMC $100,000 -30.7% 1
Fidelis Care New York $100,000 -30.7% 6
EmblemHealth $100,000 -30.7% 7
Independent Health Association, Inc. $100,000 -30.7% 1
Elderplan, Inc. $100,000 -30.7% 2
Liberty Health $100,000 -30.7% 1
Longevity Health Plan $100,000 -30.7% 2
CenterLight Health System, Inc. $100,000 -30.7% 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.