Payer comparison · HCPCS B0904 · AVON, OH

B0904 — Other Orthopedic M <44.5

What each payer pays University Hospitals Avon Rehabilitation Hospital (CCN 363039) 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.

$41,412 All-payer median here

$41,412 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for B0904 →

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

Antidote Healthe Care of Ohio	$74,541	80.0%	1
Ambetter (Marketplace)	$72,471	75.0%	1
Caresource (Marketplace)	$72,471	75.0%	1
CareSource	$44,311	7.0%	2
Buckeye Health Plan	$44,311	7.0%	3
Molina Healthcare	$43,482	5.0%	2
AmeriHealth Caritas	$43,068	4.0%	1
WellCare Health Plans	$41,412	0.0%	1
AULTCARE/PRIMETIME HEALTH PLAN	$41,412	0.0%	1
Cigna Healthcare	$41,412	0.0%	1
Devoted Health	$41,412	0.0%	1
Health Plan	$41,412	0.0%	1
Humana	$41,412	0.0%	3
SummaCare	$41,412	0.0%	1
UnitedHealthcare	$41,412	0.0%	3
VA- OPTUM	$41,412	0.0%	1
Aetna	$38,306	-7.5%	2
BeechStreet Corporation	$37,271	-10.0%	1
MultiPlan	$37,271	-10.0%	1
Fortified	$37,271	-10.0%	1
PHCS (Private Healthcare Systems)	$37,271	-10.0%	1
Paramount Health Care	$36,857	-11.0%	2
Ohio Preferred Network	$33,129	-20.0%	1
Anthem (Elevance Health)	$32,612	-21.2%	2
Ohio Health Choice	$32,094	-22.5%	2
Clarity Health (Enterprise Group Planning will be listed on ID card as well)	$30,645	-26.0%	1
OCCUNET	$30,645	-26.0%	1
Healthsmart (formerly Emerald)	$26,918	-35.0%	1
Meritain Health	$16,109	-61.1%	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.