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 0973 · LITTLE FALLS, NY

0973 — 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.

$195 All-payer median here
$136 Cash / self-pay here
18 payer/plan-name variants
← This hospital National rates for 0973 →
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 $455 133.2% 41
PHCS (Private Healthcare Systems) $455 133.2% 41
Neic $455 133.2% 41
MultiPlan $455 133.2% 41
Cigna Healthcare $430 120.2% 41
UnitedHealthcare $211 8.1% 82
MVP Health Care $203 3.8% 82
EmblemHealth $199 1.9% 82
Blue Cross Blue Shield Association $194 -0.8% 328
Humana $153 -21.6% 41
Aetna $151 -22.4% 41
Centene $151 -22.4% 41
Todays Options $149 -23.8% 41
WellCare Health Plans $149 -23.8% 41
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $146 -25.3% 41
Martin's Point Health Care, Inc. $142 -27.5% 41
TRICARE $142 -27.5% 41
VA / CHAMPVA $142 -27.5% 41

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.