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 · CPT 0817T · SPRINGFIELD, OH

0817T — Opn Insj/rplcmt Ins Ptn Subf

What each payer pays OHIO VALLEY SURGICAL HOSPITAL (CCN 360355) 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.

$20,438 All-payer median here
$33,124 Cash / self-pay here
59 payer/plan-name variants
← This hospital National rates for 0817T →
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
   
LUMINARE HEALTH KC $49,686 143.1% 1
Medben $49,686 143.1% 2
Ohio Health $49,686 143.1% 1
Preferred Health $49,686 143.1% 2
Medical Mutual of Ohio $34,780 70.2% 19
Self Pay Medicare $33,124 62.1% 3
Healthgram Inc (formerly Primary PhysicianCare Inc) $32,685 59.9% 1
Unified Group $32,685 59.9% 1
Sbma $32,685 59.9% 1
Samba $32,685 59.9% 1
Nalc $32,685 59.9% 1
Cigna Healthcare $32,685 59.9% 30
Bluecrossblueshieldfeddonotuse $31,952 56.3% 1
Blue Cross Blue Shield Association $31,952 56.3% 23
CareSource $30,657 50.0% 9
Mhbp $29,679 45.2% 1
Personify Health $29,679 45.2% 1
Meritain Health $29,679 45.2% 3
Nippon Life $29,679 45.2% 2
PacificSource $29,679 45.2% 1
Mail Handlers $29,679 45.2% 1
GEHA (Government Employees Health Association) $29,679 45.2% 3
Ngs Coresource $29,679 45.2% 1
Genworth $29,679 45.2% 1
Aetna $25,059 22.6% 34
EMPLOYER DIRECT HEALTHCARE $23,504 15.0% 1
The Health Plan of West Virginia, Inc. $21,460 5.0% 1
Humana $20,438 0.0% 9
Gateway Health Plan $20,438 0.0% 1
EVEREST SUPPLEMENTAL MEDICAL EXPENSE POLICY $20,438 0.0% 1
Medicare (Generic) $20,438 0.0% 4
Communicare Advantage $20,438 0.0% 1
CENTRAL STATES HEALTH & LIFE CO OF OMAHA MEDICARE SUPPLEMENT $20,438 0.0% 1
Molina Healthcare $20,438 0.0% 11
Buckeye Health Plan $20,438 0.0% 4
BCBS of Illinois $20,438 0.0% 4
Bankers Life And Casualty $20,438 0.0% 1
Bankers Fidelity $20,438 0.0% 1
AULTCARE/PRIMETIME HEALTH PLAN $20,438 0.0% 1
PARAMOUNT HEALTH CARE $20,438 0.0% 3
Patient No Pay $20,438 0.0% 1
Anthem (Elevance Health) $20,438 0.0% 3
Americo Medicare Supplement $20,438 0.0% 1
Prosperity Supplement $20,438 0.0% 1
American Retirement $20,438 0.0% 1
American Republic $20,438 0.0% 1
Self Pay Imaging $20,438 0.0% 1
American Continental Life $20,438 0.0% 1
Sierra Medicare $20,438 0.0% 1
TRICARE $20,438 0.0% 9
Wraparound Pl Supp $20,438 0.0% 1
Lumico Medicare $20,438 0.0% 1
Kskj Life Medicare $20,438 0.0% 1
American Continental Insurance $20,438 0.0% 1
UnitedHealthcare $20,438 0.0% 30
VA / CHAMPVA $20,438 0.0% 4
WellCare Health Plans $20,438 0.0% 2
Western United Life Medicare $20,438 0.0% 1
UMR (UnitedHealthcare TPA) $6,136 -70.0% 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.