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 218 · MARYSVILLE, OH

218 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/mcc

What each payer pays MEMORIAL HOSPITAL (CCN 360092) 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.

$44,214 All-payer median here
30 payer/plan-name variants
← This hospital National rates for 218 →
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
   
Oscar Health $81,095 83.4% 1
Gateway Health Plan $49,134 11.1% 1
Valor Health Plan $49,134 11.1% 1
CareSource $47,703 7.9% 5
Core Care Select (Copc) $47,703 7.9% 1
Molina Healthcare $47,703 7.9% 3
UnitedHealthcare $47,703 7.9% 1
Cigna Healthcare $45,958 3.9% 2
Humana $45,958 3.9% 4
Aetna $45,958 3.9% 6
Ohio Health Choice $44,214 0.0% 1
Ohio Health Group $44,214 0.0% 1
Ohio Health Group (Aka Ohio Healthy) $44,214 0.0% 1
Ohio State University Health Plan $44,214 0.0% 1
Ohiohealthy $44,214 0.0% 1
Paramount Advantage/Anthem $44,214 0.0% 1
Three Rivers Provider Network $44,214 0.0% 1
Unison $44,214 0.0% 2
Medical Mutual of Ohio $44,214 0.0% 5
American Community Mutual Insurance Company $44,214 0.0% 2
AmeriHealth Caritas $44,214 0.0% 1
Anthem (Elevance Health) $44,214 0.0% 5
BeechStreet Corporation $44,214 0.0% 1
Buckeye Health Plan $44,214 0.0% 4
Bureau For Children With Medical Handicaps $44,214 0.0% 1
Emerald Health Network $44,214 0.0% 1
Accessible Health Alliance/Oh Health Choice $44,214 0.0% 1
MultiPlan $44,214 0.0% 1
AHPO (Accountable Health Plan of Ohio) $25,635 -42.0% 1
Mount Carmel/Medigold $19,790 -55.2% 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.