Price Transparencybeta 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 466 · HENDERSON, NC

466 — Revision Of Hip Or Knee Replacement With Mcc

What each payer pays MARIA PARHAM MEDICAL CENTER (CCN 340132) 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.

$33,785 All-payer median here
$51,698 Cash / self-pay here
23 payer/plan-name variants
← This hospital National rates for 466 →
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
   
Optimum $76,414 126.2% 2
MBS (Formerly MedCost Benefit Services) $76,414 126.2% 2
Centene $76,414 126.2% 2
Aetna $76,414 126.2% 2
UnitedHealthcare $75,520 123.5% 6
Cigna Healthcare $54,652 61.8% 4
AmeriHealth Caritas $46,095 36.4% 2
TRICARE $40,359 19.5% 2
BCBS of North Carolina $39,619 17.3% 4
Devoted Health $34,798 3.0% 2
Umass University Health $33,785 0.0% 2
WellCare Health Plans $33,785 0.0% 2
Advantra $33,785 0.0% 2
Wellpath $33,785 0.0% 2
Anthem (Elevance Health) $33,785 0.0% 2
Gateway Health Plan $33,785 0.0% 2
Health Net $33,785 0.0% 2
Humana $33,785 0.0% 2
Managed Medicare 100% $33,785 0.0% 2
MVP Health Care $33,785 0.0% 2
Preferred Care $33,785 0.0% 2
Pyramid $33,785 0.0% 2
Tenet $33,785 0.0% 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.