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 469 · YOUNGSTOWN, OH

469 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Replacement

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.

$23,497 All-payer median here
$25,300 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 469 →
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 $42,175 79.5% 2
Enterprise Group Planning $42,098 79.2% 1
Medical Mutual of Ohio $39,575 68.4% 3
Anthem BCBS $35,567 51.4% 2
MultiPlan $34,210 45.6% 1
HEALTHSMART BENEFIT SOLUTIONS $34,210 45.6% 1
SummaCare $32,308 37.5% 2
UnitedHealthcare $26,277 11.8% 2
Humana $25,134 7.0% 2
Buckeye Health Plan $21,539 -8.3% 2
Molina Healthcare $19,580 -16.7% 2
CareSource $19,580 -16.7% 2
The Health Plan of West Virginia, Inc. $19,580 -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.