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 0974 · LITTLE FALLS, NY

0974 — 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.

$148 All-payer median here
$94 Cash / self-pay here
18 payer/plan-name variants
← This hospital National rates for 0974 →
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 $313 112.3% 96
PHCS (Private Healthcare Systems) $313 112.3% 96
Neic $313 112.3% 96
MultiPlan $313 112.3% 96
Cigna Healthcare $296 100.5% 96
UnitedHealthcare $189 27.7% 192
MVP Health Care $183 24.0% 192
EmblemHealth $179 21.2% 192
Blue Cross Blue Shield Association $149 1.0% 768
Humana $105 -28.7% 96
Aetna $104 -29.3% 96
Centene $104 -29.3% 96
Todays Options $102 -30.6% 96
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $100 -32.0% 96
WellCare Health Plans $100 -32.6% 96
Martin's Point Health Care, Inc. $98 -33.9% 96
TRICARE $98 -33.9% 96
VA / CHAMPVA $98 -33.9% 96

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.