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 · CPT 0816T · WILSON, NC

0816T — Opn Insj/rplcmt Ins Ptn Subq

What each payer pays WILSON MEDICAL CENTER (CCN 340126) 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.

$47,258 All-payer median here
$29,635 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 0816T →
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 $47,258 0.0% 6
AmeriHealth Caritas $47,258 0.0% 3
Anthem (Elevance Health) $47,258 0.0% 3
BCBS of North Carolina $47,258 0.0% 6
Centene $47,258 0.0% 3
Cigna Healthcare $47,258 0.0% 6
Devoted Health $47,258 0.0% 3
Humana $47,258 0.0% 3
Managed Medicare 100% $47,258 0.0% 3
MBS (Formerly MedCost Benefit Services) $47,258 0.0% 3
Pyramid $47,258 0.0% 3
TRICARE $47,258 0.0% 3
UnitedHealthcare $47,258 0.0% 9
WellCare Health Plans $47,258 0.0% 3

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.