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 23 · ONTARIO, OH

23 — Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Chemotherapy Implant Or Epilepsy With Neurostimulator

What each payer pays AVITA ONTARIO (CCN 360365) 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.

$36,805 All-payer median here
$97,762 Cash / self-pay here
15 payer/plan-name variants
← This hospital National rates for 23 →
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
   
Cigna Healthcare $89,596 143.4% 1
Aetna $75,910 106.2% 2
Anthem (Elevance Health) $53,194 44.5% 6
UnitedHealthcare $36,805 0.0% 3
Humana $36,805 0.0% 1
Molina Healthcare $36,805 0.0% 3
Mount Carmel $36,805 0.0% 1
Medicare (Generic) $20,161 -45.2% 2
Buckeye Health Plan $18,478 -49.8% 2
Medical Mutual of Ohio $3,588 -90.3% 3
Humana Horizons $152 -99.6% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $147 -99.6% 1
CareSource $140 -99.6% 1
Ohiorise $140 -99.6% 1
Medicaid (Generic) $140 -99.6% 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.