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 63685 · SPRINGFIELD, OH

63685 — Ins/rplc Spi Npg/rcvr Pocket

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.

$29,044 All-payer median here
$21,394 Cash / self-pay here
60 payer/plan-name variants
← This hospital National rates for 63685 →
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
   
Nalc $46,396 59.7% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $46,396 59.7% 1
Cigna Healthcare $46,396 59.7% 30
Samba $46,396 59.7% 1
Unified Group $46,396 59.7% 1
Sbma $46,396 59.7% 1
Bluecrossblueshieldfeddonotuse $45,405 56.3% 1
Blue Cross Blue Shield Association $45,405 56.3% 23
CareSource $43,566 50.0% 9
EMPLOYER DIRECT HEALTHCARE $33,400 15.0% 1
Devoted Health $33,037 13.7% 3
Medben $32,090 10.5% 2
Preferred Health $32,090 10.5% 2
Ohio Health $32,090 10.5% 1
LUMINARE HEALTH KC $32,090 10.5% 1
The Health Plan of West Virginia, Inc. $30,496 5.0% 1
Kskj Life Medicare $29,044 0.0% 1
Lumico Medicare $29,044 0.0% 1
Medicare (Generic) $29,044 0.0% 4
Molina Healthcare $29,044 0.0% 11
AULTCARE/PRIMETIME HEALTH PLAN $29,044 0.0% 1
American Continental Insurance $29,044 0.0% 1
American Continental Life $29,044 0.0% 1
American Republic $29,044 0.0% 1
American Retirement $29,044 0.0% 1
Americo Medicare Supplement $29,044 0.0% 1
Anthem (Elevance Health) $29,044 0.0% 3
Bankers Fidelity $29,044 0.0% 1
Bankers Life And Casualty $29,044 0.0% 1
BCBS of Illinois $29,044 0.0% 4
Buckeye Health Plan $29,044 0.0% 4
CENTRAL STATES HEALTH & LIFE CO OF OMAHA MEDICARE SUPPLEMENT $29,044 0.0% 1
Communicare Advantage $29,044 0.0% 1
EVEREST SUPPLEMENTAL MEDICAL EXPENSE POLICY $29,044 0.0% 1
Gateway Health Plan $29,044 0.0% 1
Humana $29,044 0.0% 9
PARAMOUNT HEALTH CARE $29,044 0.0% 3
Patient No Pay $29,044 0.0% 1
Prosperity Supplement $29,044 0.0% 1
Self Pay Imaging $29,044 0.0% 1
Sierra Medicare $29,044 0.0% 1
TRICARE $29,044 0.0% 9
UnitedHealthcare $29,044 0.0% 30
VA / CHAMPVA $29,044 0.0% 4
WellCare Health Plans $29,044 0.0% 2
Western United Life Medicare $29,044 0.0% 1
Wraparound Pl Supp $29,044 0.0% 1
Medical Mutual of Ohio $22,463 -22.7% 19
Self Pay Medicare $21,394 -26.3% 3
Aetna $14,706 -49.4% 34
UMR (UnitedHealthcare TPA) $5,778 -80.1% 1
Meritain Health $369 -98.7% 3
PacificSource $369 -98.7% 1
Personify Health $369 -98.7% 1
GEHA (Government Employees Health Association) $369 -98.7% 3
Genworth $369 -98.7% 1
Mail Handlers $369 -98.7% 1
Mhbp $369 -98.7% 1
Ngs Coresource $369 -98.7% 1
Nippon Life $369 -98.7% 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.