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 49205 · SPRINGFIELD, OH

49205 — Exc Abd Tum Over 10 Cm

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.

$14,675 All-payer median here
$16,379 Cash / self-pay here
20 payer/plan-name variants
← This hospital National rates for 49205 →
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
   
Medben $24,568 67.4% 2
Preferred Health $24,568 67.4% 2
LUMINARE HEALTH KC $24,568 67.4% 1
Ohio Health $24,568 67.4% 1
Medical Mutual of Ohio $17,198 17.2% 14
Self Pay Medicare $16,379 11.6% 2
Ngs Coresource $14,675 0.0% 1
Nippon Life $14,675 0.0% 2
Aetna $14,675 0.0% 17
GEHA (Government Employees Health Association) $14,675 0.0% 3
Genworth $14,675 0.0% 1
Mail Handlers $14,675 0.0% 1
Meritain Health $14,675 0.0% 3
Mhbp $14,675 0.0% 1
PacificSource $14,675 0.0% 1
Personify Health $14,675 0.0% 1
UMR (UnitedHealthcare TPA) $6,560 -55.3% 1
Blue Cross Blue Shield Association $4,627 -68.5% 18
Bluecrossblueshieldfeddonotuse $4,627 -68.5% 1
Anthem (Elevance Health) $4,627 -68.5% 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.