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 HOSPITALS (CCN 340061) 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.

$538 All-payer median here
$323 Cash / self-pay here
25 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
   
Liberty $2,148 299.3% 8
UMR (UnitedHealthcare TPA) $1,189 121.0% 10
Surest (UHC) $1,189 121.0% 10
First Health Network $1,189 121.0% 10
Nalc Health Benefit Plan $1,102 104.8% 10
Partners $1,078 100.3% 10
Carolina Complete Health (Centene NC Medicaid) $1,078 100.3% 10
VAYA HEALTH $1,078 100.3% 10
Trillium Behavioral Health $1,078 100.3% 10
Anthem (Elevance Health) $1,078 100.3% 10
AmeriHealth Caritas $1,078 100.3% 10
FirstCarolinaCare $892 65.8% 10
MBS (Formerly MedCost Benefit Services) $807 50.1% 30
Contigo $761 41.4% 10
Alliance $552 2.7% 10
Blue Cross Blue Shield Association $538 0.0% 31
Cigna Healthcare $538 0.0% 21
Aetna $538 0.0% 21
UnitedHealthcare $538 0.0% 41
WellCare Health Plans $335 -37.7% 11
Alignment Healthcare USA, LLC $335 -37.7% 2
First Medicare Direct $335 -37.7% 1
Health Team Advantage $335 -37.7% 1
Humana $335 -37.7% 2
TRICARE $335 -37.7% 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.