Payer comparison · OTHER 0370 · SMITHFIELD, NC

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

What each payer pays JOHNSTON HEALTH (CCN 340090) 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.

$232 All-payer median here

$312 Cash / self-pay here

21 payer/plan-name variants

← This hospital National rates for 0370 →

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

First Health Network	$520	123.7%	5
MBS (Formerly MedCost Benefit Services)	$520	123.7%	15
Aetna	$413	77.9%	13
UMR (UnitedHealthcare TPA)	$409	76.1%	5
Surest (UHC)	$409	76.1%	5
Cigna Healthcare	$391	68.1%	13
Humana	$301	29.6%	6
Alignment Healthcare USA, LLC	$301	29.6%	6
Liberty	$301	29.6%	3
TRICARE	$301	29.6%	3
UnitedHealthcare	$236	1.5%	23
Contigo	$232	0.0%	5
Blue Cross Blue Shield Association	$185	-20.4%	18
WellCare Health Plans	$89	-61.7%	8
VAYA HEALTH	$85	-63.4%	5
Partners	$85	-63.4%	5
Trillium Behavioral Health	$83	-64.1%	5
Carolina Complete Health (Centene NC Medicaid)	$83	-64.5%	5
Alliance	$83	-64.5%	5
AmeriHealth Caritas	$83	-64.5%	5
Anthem (Elevance Health)	$83	-64.5%	5

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.