Price Transparencybeta 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 · HCPCS D0505 · AVON, OH

D0505 — Non-traumatic Spinal Cord Injury M <39.50

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.

$41,143 All-payer median here
$41,143 Cash / self-pay here
29 payer/plan-name variants
← This hospital National rates for D0505 →
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 $74,057 80.0% 1
Ambetter (Marketplace) $72,000 75.0% 1
Caresource (Marketplace) $72,000 75.0% 1
Buckeye Health Plan $44,023 7.0% 3
CareSource $44,023 7.0% 2
Molina Healthcare $43,200 5.0% 2
AmeriHealth Caritas $42,789 4.0% 1
WellCare Health Plans $41,143 0.0% 1
AULTCARE/PRIMETIME HEALTH PLAN $41,143 0.0% 1
Cigna Healthcare $41,143 0.0% 1
Devoted Health $41,143 0.0% 1
Health Plan $41,143 0.0% 1
Humana $41,143 0.0% 3
SummaCare $41,143 0.0% 1
UnitedHealthcare $41,143 0.0% 3
VA- OPTUM $41,143 0.0% 1
Aetna $38,057 -7.5% 2
BeechStreet Corporation $37,029 -10.0% 1
MultiPlan $37,029 -10.0% 1
Fortified $37,029 -10.0% 1
PHCS (Private Healthcare Systems) $37,029 -10.0% 1
Paramount Health Care $36,617 -11.0% 2
Ohio Preferred Network $32,914 -20.0% 1
Anthem (Elevance Health) $32,400 -21.3% 2
Ohio Health Choice $31,886 -22.5% 2
Clarity Health (Enterprise Group Planning will be listed on ID card as well) $30,446 -26.0% 1
OCCUNET $30,446 -26.0% 1
Healthsmart (formerly Emerald) $26,743 -35.0% 1
Meritain Health $16,005 -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.