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 0804 · CHAPEL HILL, NC

0804 — Replacement Of Lower-extremity Joint M >=42.50 And

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.

$609 All-payer median here
$499 Cash / self-pay here
25 payer/plan-name variants
← This hospital National rates for 0804 →
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
   
Partners $720 18.2% 2
Nalc Health Benefit Plan $720 18.2% 2
Liberty $720 18.2% 2
AmeriHealth Caritas $720 18.2% 2
Anthem (Elevance Health) $720 18.2% 2
VAYA HEALTH $720 18.2% 2
Carolina Complete Health (Centene NC Medicaid) $720 18.2% 2
Alliance $720 18.2% 2
UMR (UnitedHealthcare TPA) $720 18.2% 2
First Health Network $720 18.2% 2
Trillium Behavioral Health $720 18.2% 2
Surest (UHC) $720 18.2% 2
Aetna $609 0.0% 5
Blue Cross Blue Shield Association $609 0.0% 7
Cigna Healthcare $609 0.0% 5
UnitedHealthcare $609 0.0% 9
WellCare Health Plans $609 0.0% 3
FirstCarolinaCare $540 -11.3% 2
TRICARE $518 -15.0% 1
First Medicare Direct $518 -15.0% 1
Health Team Advantage $518 -15.0% 1
Alignment Healthcare USA, LLC $518 -15.0% 2
Humana $518 -15.0% 2
MBS (Formerly MedCost Benefit Services) $495 -18.8% 6
Contigo $463 -24.0% 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.