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 · OTHER 0403 · LITTLE FALLS, NY

0403 — Scr Mammo Bi Incl Cad

What each payer pays LITTLE FALLS HOSPITAL (CCN 331311) 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.

$173 All-payer median here
$124 Cash / self-pay here
18 payer/plan-name variants
← This hospital National rates for 0403 →
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
   
Neic $412 138.3% 2
POMCO Group $412 138.3% 2
PHCS (Private Healthcare Systems) $412 138.3% 2
MultiPlan $412 138.3% 2
Cigna Healthcare $389 125.1% 2
UnitedHealthcare $237 37.1% 4
Blue Cross Blue Shield Association $182 5.3% 18
Humana $138 -19.9% 2
Aetna $137 -20.7% 2
WellCare Health Plans $135 -22.1% 2
Todays Options $135 -22.1% 2
TRICARE $128 -25.9% 2
EmblemHealth $128 -25.9% 6
Martin's Point Health Care, Inc. $128 -25.9% 2
VA / CHAMPVA $128 -25.9% 2
Centene $111 -35.5% 4
MVP Health Care $102 -40.8% 8
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $93 -46.4% 6

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.