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 64568 · CIRCLEVILLE, OH

64568 — Opn Impltj Crnl Nrv Nea&pg

What each payer pays BERGER HOSPITAL (CCN 360170) 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.

$74,116 All-payer median here
$53,528 Cash / self-pay here
24 payer/plan-name variants
← This hospital National rates for 64568 →
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 $82,351 11.1% 21
CareSource $82,351 11.1% 1
Molina Healthcare $82,351 11.1% 1
UnitedHealthcare $82,351 11.1% 18
UnitedHealthcare Community Plan $82,351 11.1% 1
Anthem (Elevance Health) $75,351 1.7% 4
OSU [553] $74,116 0.0% 6
Ohio Health Choice $74,116 0.0% 8
Ohio Preferred Network $72,469 -2.2% 1
Great-West Healthcare $70,822 -4.4% 3
Cigna Healthcare $70,822 -4.4% 7
IHG [492] $69,998 -5.6% 1
PARAMOUNT [555] $69,998 -5.6% 3
COFINITY $69,998 -5.6% 1
COVENTRY HEALTH $69,998 -5.6% 1
EMERALD [395] $69,998 -5.6% 1
First Health Network $69,998 -5.6% 1
FLORA [411] $69,998 -5.6% 1
HEALTHSMART [493] $69,998 -5.6% 2
AHPO (Accountable Health Plan of Ohio) $69,998 -5.6% 1
HEALTHLINK $61,763 -16.7% 2
OHIOHEALTHY MEDICAL PLAN [556] $55,999 -24.4% 1
Humana $53,528 -27.8% 1
HEALTHREACH [540] $45,293 -38.9% 7

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.