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 · HCPCS A9604 · ELLENVILLE, NY

A9604 — Sm 153 Lexidronam

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.

$28,479 All-payer median here
$38,835 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for A9604 →
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 $41,424 45.5% 6
Galaxy Health Network $33,657 18.2% 1
1199 NATIONAL BENEFIT FUND $30,032 5.5% 2
Aetna $30,032 5.5% 2
MVP Health Care $29,152 2.4% 3
WellCare Health Plans $28,479 0.0% 1
UnitedHealthcare $24,595 -13.6% 4
Centene $20,712 -27.3% 1
Humana $20,712 -27.3% 1
Anthem BCBS of New York $20,712 -27.3% 1
HAMASPIK CHOICE $20,712 -27.3% 1
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $19,159 -32.7% 1

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.