Payer comparison · OTHER 468 · YOUNGSTOWN, OH

468 — Revision Of Hip Or Knee Replacement Without Cc/mcc

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.

$18,858 All-payer median here

$22,624 Cash / self-pay here

13 payer/plan-name variants

← This hospital National rates for 468 →

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	$34,235	81.5%	2
Enterprise Group Planning	$33,787	79.2%	1
Medical Mutual of Ohio	$31,762	68.4%	3
Anthem BCBS	$28,545	51.4%	2
MultiPlan	$28,229	49.7%	1
HEALTHSMART BENEFIT SOLUTIONS	$28,229	49.7%	1
SummaCare	$25,929	37.5%	2
UnitedHealthcare	$21,089	11.8%	2
Humana	$20,172	7.0%	2
Buckeye Health Plan	$17,286	-8.3%	2
Molina Healthcare	$15,715	-16.7%	2
CareSource	$15,715	-16.7%	2
The Health Plan of West Virginia, Inc.	$15,715	-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.