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 →

0370 — Mod Sed Same Phys/Qhp 5 Years Of Age Or Older

What each payer pays UNC HEALTH CARE WAYNE (CCN 340010) 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.

$2,175 All-payer median here
$2,759 Cash / self-pay here
19 payer/plan-name variants
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
   
TRICARE $5,109 134.8% 27
UMR (UnitedHealthcare TPA) $4,599 111.4% 29
Surest (UHC) $4,599 111.4% 29
Liberty $4,599 111.4% 29
MBS (Formerly MedCost Benefit Services) $3,725 71.2% 87
Contigo $3,541 62.8% 29
Aetna $3,515 61.6% 59
Cigna Healthcare $3,265 50.1% 29
Blue Cross Blue Shield Association $2,965 36.3% 88
UnitedHealthcare $2,375 9.2% 87
Partners $1,296 -40.4% 29
VAYA HEALTH $1,296 -40.4% 29
Trillium Behavioral Health $1,271 -41.6% 29
WellCare Health Plans $1,259 -42.1% 29
Carolina Complete Health (Centene NC Medicaid) $1,259 -42.1% 29
Anthem (Elevance Health) $1,259 -42.1% 29
AmeriHealth Caritas $1,259 -42.1% 29
Alliance $1,259 -42.1% 29
Humana $266 -87.8% 2

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.