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 · RALEIGH, NC

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

What each payer pays REX HOSPITAL (CCN 340114) 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.

$488 All-payer median here
$499 Cash / self-pay here
23 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
   
Liberty $831 70.3% 1
UMR (UnitedHealthcare TPA) $676 38.5% 1
Surest (UHC) $676 38.5% 1
Aetna $590 20.9% 3
Cigna Healthcare $516 5.7% 2
MBS (Formerly MedCost Benefit Services) $507 3.9% 3
FirstCarolinaCare $499 2.2% 1
Health Team Advantage $488 0.0% 1
Alignment Healthcare USA, LLC $488 0.0% 2
First Medicare Direct $488 0.0% 1
Humana $488 0.0% 1
TRICARE $488 0.0% 1
UnitedHealthcare $488 0.0% 3
Contigo $440 -9.7% 1
WellCare Health Plans $336 -31.1% 2
Blue Cross Blue Shield Association $332 -32.0% 3
Partners $190 -61.0% 1
VAYA HEALTH $190 -61.0% 1
Trillium Behavioral Health $187 -61.7% 1
Anthem (Elevance Health) $185 -62.1% 1
Alliance $185 -62.1% 1
AmeriHealth Caritas $185 -62.1% 1
Carolina Complete Health (Centene NC Medicaid) $185 -62.1% 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.