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 216 · LANCASTER, OH

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays FAIRFIELD MEDICAL CENTER (CCN 360072) 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.

$69,253 All-payer median here
17 payer/plan-name variants
← This hospital National rates for 216 →
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
   
United Medical Resources - Umr $142,829 106.2% 2
Oscar Health $111,759 61.4% 2
UnitedHealthcare $105,696 52.6% 4
The Health Plan of West Virginia, Inc. $102,247 47.6% 4
Molina Healthcare $90,847 31.2% 4
Buckeye Health Plan $86,750 25.3% 4
CareSource $82,764 19.5% 4
Bwc $77,271 11.6% 2
VA / CHAMPVA $73,634 6.3% 2
Medicare (Generic) $72,098 4.1% 2
Valor Health Plan $68,572 -1.0% 2
PARAMOUNT HEALTH CARE $68,564 -1.0% 2
Medical Mutual of Ohio $67,227 -2.9% 2
Humana $67,227 -2.9% 2
Anthem (Elevance Health) $67,227 -2.9% 2
Aetna $67,227 -2.9% 2
TRICARE $11,069 -84.0% 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.