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 467 · YOUNGSTOWN, OH

467 — Revision Of Hip Or Knee Replacement With Cc

What each payer pays SURGICAL HOSPITAL AT SOUTHWOODS (CCN 360352) 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.

$24,621 All-payer median here
$22,333 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 467 →
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
   
Enterprise Group Planning $44,112 79.2% 1
Aetna $43,496 76.7% 2
Medical Mutual of Ohio $41,469 68.4% 3
Anthem BCBS $37,269 51.4% 2
MultiPlan $34,455 39.9% 1
HEALTHSMART BENEFIT SOLUTIONS $34,455 39.9% 1
SummaCare $33,854 37.5% 2
UnitedHealthcare $27,534 11.8% 2
Humana $26,337 7.0% 2
Buckeye Health Plan $22,569 -8.3% 2
Molina Healthcare $20,517 -16.7% 2
CareSource $20,517 -16.7% 2
The Health Plan of West Virginia, Inc. $20,517 -16.7% 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.