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 0972 · LITTLE FALLS, NY

0972 — Tonsil And Adenoid Procedures

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.

$80 All-payer median here
$52 Cash / self-pay here
18 payer/plan-name variants
← This hospital National rates for 0972 →
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
   
POMCO Group $171 114.1% 417
Neic $171 114.1% 417
MultiPlan $171 114.1% 417
PHCS (Private Healthcare Systems) $171 114.1% 417
Cigna Healthcare $162 102.2% 417
UnitedHealthcare $98 22.1% 827
MVP Health Care $93 16.1% 830
EmblemHealth $93 15.8% 827
Blue Cross Blue Shield Association $77 -3.5% 3,311
Aetna $58 -27.2% 412
Centene $58 -27.2% 412
Humana $58 -27.5% 415
Todays Options $56 -29.8% 416
WellCare Health Plans $56 -29.8% 416
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $56 -30.1% 413
TRICARE $55 -31.7% 410
Martin's Point Health Care, Inc. $55 -31.7% 410
VA / CHAMPVA $55 -31.7% 410

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.