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 0802 · LUMBERTON, NC

0802 — Replacement Of Lower-extremity Joint M >=57.50 And

What each payer pays SOUTHEASTERN REGIONAL MEDICAL CENTER (CCN 340050) 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.

$985 All-payer median here
$591 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for 0802 →
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
   
Aetna $985 0.0% 6
TRICARE $985 0.0% 2
Trillium Behavioral Health $985 0.0% 2
UnitedHealthcare $985 0.0% 10
VAYA HEALTH $985 0.0% 2
AmeriHealth Caritas $985 0.0% 2
Anthem (Elevance Health) $985 0.0% 2
Blue Cross Blue Shield Association $985 0.0% 8
Carolina Complete Health (Centene NC Medicaid) $985 0.0% 2
Cigna Healthcare $985 0.0% 6
First Health Network $985 0.0% 2
Liberty $985 0.0% 2
MBS (Formerly MedCost Benefit Services) $985 0.0% 6
Partners $985 0.0% 2
Surest (UHC) $985 0.0% 2
Three Way Trillium $985 0.0% 2
WellCare Health Plans $799 -18.8% 4
First Medicare Direct $614 -37.7% 2
Humana $614 -37.7% 4
Alliance $243 -75.4% 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.