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 64479 · LIMA, OH

64479 — Njx Aa&/strd Tfrm Epi C/t 1

What each payer pays INSTITUTE FOR ORTHOPAEDIC SURGERY (CCN 360263) 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.

$1,304 All-payer median here
6 payer/plan-name variants
← This hospital National rates for 64479 →
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
   
Medical Mutual of Ohio $2,213 69.7% 2
Anthem Commercial $1,752 34.3% 2
Aetna $1,326 1.6% 4
UnitedHealthcare $1,315 0.8% 4
Anthem (Elevance Health) $944 -27.6% 2
Cigna Healthcare $944 -27.6% 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.