Price Transparencybeta 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 · CDM 4472053 · ELLENVILLE, NY

4472053 — Genuplay Brace Sm

What each payer pays ELLENVILLE REGIONAL HOSPITAL (CCN 331310) 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.

$57,868 All-payer median here
$85,943 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 4472053 →
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 $91,672 58.4% 6
Galaxy Health Network $74,484 28.7% 1
1199 NATIONAL BENEFIT FUND $66,463 14.9% 2
Aetna $66,463 14.9% 2
MVP Health Care $64,514 11.5% 3
WellCare Health Plans $63,025 8.9% 1
HAMASPIK CHOICE $45,836 -20.8% 1
Centene $45,836 -20.8% 1
Humana $45,836 -20.8% 1
Anthem BCBS of New York $45,836 -20.8% 1
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $42,399 -26.7% 1
UnitedHealthcare $31,512 -45.5% 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.