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 19357 · SPRINGFIELD, OH

19357 — Tiss Xpndr Plmt Brst Rcnstj

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.

$16,582 All-payer median here
$13,871 Cash / self-pay here
60 payer/plan-name variants
← This hospital National rates for 19357 →
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
   
Unified Group $26,330 58.8% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $26,330 58.8% 1
Cigna Healthcare $26,330 58.8% 30
Samba $26,330 58.8% 1
Nalc $26,330 58.8% 1
Sbma $26,330 58.8% 1
Bluecrossblueshieldfeddonotuse $25,923 56.3% 1
Blue Cross Blue Shield Association $25,923 56.3% 23
CareSource $24,873 50.0% 9
LUMINARE HEALTH KC $20,807 25.5% 1
Medben $20,807 25.5% 2
Preferred Health $20,807 25.5% 2
Ohio Health $20,807 25.5% 1
EMPLOYER DIRECT HEALTHCARE $19,069 15.0% 1
Devoted Health $18,774 13.2% 3
The Health Plan of West Virginia, Inc. $17,411 5.0% 1
Kskj Life Medicare $16,582 0.0% 1
Lumico Medicare $16,582 0.0% 1
Medicare (Generic) $16,582 0.0% 4
Molina Healthcare $16,582 0.0% 11
AULTCARE/PRIMETIME HEALTH PLAN $16,582 0.0% 1
American Continental Insurance $16,582 0.0% 1
American Continental Life $16,582 0.0% 1
American Republic $16,582 0.0% 1
American Retirement $16,582 0.0% 1
Americo Medicare Supplement $16,582 0.0% 1
Anthem (Elevance Health) $16,582 0.0% 3
Bankers Fidelity $16,582 0.0% 1
Bankers Life And Casualty $16,582 0.0% 1
BCBS of Illinois $16,582 0.0% 4
Buckeye Health Plan $16,582 0.0% 4
CENTRAL STATES HEALTH & LIFE CO OF OMAHA MEDICARE SUPPLEMENT $16,582 0.0% 1
Communicare Advantage $16,582 0.0% 1
EVEREST SUPPLEMENTAL MEDICAL EXPENSE POLICY $16,582 0.0% 1
Gateway Health Plan $16,582 0.0% 1
Humana $16,582 0.0% 9
PARAMOUNT HEALTH CARE $16,582 0.0% 3
Patient No Pay $16,582 0.0% 1
Prosperity Supplement $16,582 0.0% 1
Self Pay Imaging $16,582 0.0% 1
Sierra Medicare $16,582 0.0% 1
TRICARE $16,582 0.0% 9
UnitedHealthcare $16,582 0.0% 30
VA / CHAMPVA $16,582 0.0% 4
WellCare Health Plans $16,582 0.0% 2
Western United Life Medicare $16,582 0.0% 1
Wraparound Pl Supp $16,582 0.0% 1
Medical Mutual of Ohio $14,565 -12.2% 19
Self Pay Medicare $13,871 -16.3% 3
Aetna $8,898 -46.3% 34
UMR (UnitedHealthcare TPA) $6,560 -60.4% 1
Meritain Health $1,213 -92.7% 3
PacificSource $1,213 -92.7% 1
Personify Health $1,213 -92.7% 1
GEHA (Government Employees Health Association) $1,213 -92.7% 3
Genworth $1,213 -92.7% 1
Mail Handlers $1,213 -92.7% 1
Mhbp $1,213 -92.7% 1
Ngs Coresource $1,213 -92.7% 1
Nippon Life $1,213 -92.7% 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.