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 5114 · ONTARIO, OH

5114 — Level 4 Musculoskeletal Procedures

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.

$25,935 All-payer median here
$33,992 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 5114 →
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
   
Aetna $39,669 53.0% 46
Medical Mutual of Ohio $31,529 21.6% 47
Cigna Healthcare $31,128 20.0% 44
UnitedHealthcare $25,797 -0.5% 56
Anthem (Elevance Health) $25,534 -1.5% 188
Mount Carmel $6,798 -73.8% 2
Humana $6,798 -73.8% 2
Medicare (Generic) $6,182 -76.2% 3
Molina Healthcare $1,628 -93.7% 14
Buckeye Health Plan $1,569 -94.0% 12
CareSource $1,543 -94.1% 10
Humana Horizons $1,543 -94.1% 10
Medicaid (Generic) $1,543 -94.1% 10
AMERIHEALTH NEW JERSEY (NON-HMO) $1,470 -94.3% 10

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.