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 291 · LENOIR, NC

291 — Heart Failure And Shock With Mcc

What each payer pays CALDWELL MEMORIAL HOSPITAL (CCN 340041) 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.

$8,737 All-payer median here
10 payer/plan-name variants
← This hospital National rates for 291 →
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
   
Insurance System Inc $13,106 50.0% 1
Anthem (Elevance Health) $8,737 0.0% 1
Blue Advantage Medicare $8,737 0.0% 1
WellCare Health Plans $8,737 0.0% 1
Medicare (Generic) $8,737 0.0% 1
Peoples Health $8,737 0.0% 1
Aetna $7,514 -14.0% 2
UnitedHealthcare $7,514 -14.0% 2
Humana $6,958 -20.4% 2
Vantage Health Plan $6,291 -28.0% 1

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.