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 · CPT 33264 · ADA, OK

33264 — Rmvl & Rplcmt Dfb Gen Mlt Ld

What each payer pays MERCY HOSPITAL ADA (CCN 370020) 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.

$32,042 All-payer median here
$65,369 Cash / self-pay here
71 payer/plan-name variants
← This hospital National rates for 33264 →
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
   
HEALTHSMART BENEFIT SOLUTIONS $72,097 125.0% 1
KEMPTON GROUP ADMINISTRATORS $72,097 125.0% 1
MultiPlan $58,855 83.7% 2
PHCS (Private Healthcare Systems) $58,855 83.7% 4
First Health Network $57,540 79.6% 2
United Behavioral Health (Optum) $54,156 69.0% 4
UMR (UnitedHealthcare TPA) $43,441 35.6% 4
MERCY BENEFIT ADMINISTRATION $42,493 32.6% 22
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $41,545 29.7% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $41,545 29.7% 2
FEDERAL MEDICAL CENTER CONTRACTED [320127] $41,545 29.7% 2
YUZU HEALTH CONTRACTED [320521] $41,545 29.7% 2
QUIK TRIP CONTRACTED [320447] $41,545 29.7% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $41,545 29.7% 2
AUXIANT $41,545 29.7% 6
POINT C / MID-AMERICAN BENEFITS $41,545 29.7% 2
AITHER HEALTH $41,545 29.7% 4
HEALTHLINK PPO $41,545 29.7% 4
HealthSCOPE Benefits EHC Repricing $41,545 29.7% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $41,545 29.7% 4
IMAGINE360 ADMINISTRATORS (GPA) $41,545 29.7% 2
BENEFIT MANAGEMENT CONTRACTED [320052] $37,464 16.9% 4
Medica $35,289 10.1% 4
HEALTH CHOICE CONTRACTED [320166] $33,957 6.0% 2
Cigna Healthcare $33,022 3.1% 1
Medica Holding Company $32,663 1.9% 1
MC GENERIC ANTHEM [20456] $32,062 0.1% 1
BLUE CROSS AND BLUE SHIELD [20053] $32,062 0.1% 4
MC ANTHEM [20455] $32,062 0.1% 1
MENTAL HEALTH NETWORK MEDICARE [20250] $32,042 0.0% 1
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] $32,042 0.0% 1
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] $32,042 0.0% 1
CROSS TIMBERS HOSPICE [20098] $32,042 0.0% 1
ELARA CARING ASPIRE HOSPICE [20433] $32,042 0.0% 1
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] $32,042 0.0% 1
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] $32,042 0.0% 1
GENERIC MEDICARE MANAGED CARE [20137] $32,042 0.0% 1
HALO HCR INC HOSPICE [20432] $32,042 0.0% 1
HALO HCR INC HOSPICE CONTRACTED [320432] $32,042 0.0% 1
HEALTH FIRST HEALTH PLANS MEDICARE [20170] $32,042 0.0% 1
HORIZONS MEDICARE [20190] $32,042 0.0% 1
Independent Health Association, Inc. $32,042 0.0% 1
INDIAN HEALTH SERVICES $32,042 0.0% 1
KINDFUL HOSPICE [20434] $32,042 0.0% 1
KINDFUL HOSPICE CONTRACTED [320434] $32,042 0.0% 1
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] $32,042 0.0% 1
Medical Associates Health Plans/Health Choices [MAHC1] $32,042 0.0% 1
Medicare (Generic) $32,042 0.0% 1
MERCY HOSPICE OKC [20252] $32,042 0.0% 1
NHC ADVANTAGE MEDICARE CONTRACTED [320282] $32,042 0.0% 1
Prominence Health Plan $32,042 0.0% 1
Provider Partners Health Plan (PPHP) $32,042 0.0% 1
QUALCHOICE ADVANTAGE $32,042 0.0% 1
TRICARE $32,042 0.0% 2
UnitedHealthcare $32,042 0.0% 5
VA COMMUNITY CARE NETWORK $32,042 0.0% 1
WellCare Health Plans $32,042 0.0% 1
WINDSOR MEDICARE [20424] $32,042 0.0% 1
OSMA HEALTH CONTRACTED [320292] $31,159 -2.8% 2
Humana $30,607 -4.5% 2
Aetna $30,297 -5.4% 6
WEBTPA $29,081 -9.2% 2
Medicaid (Generic) $28,551 -10.9% 1
Oklahoma Complete Health (Centene OK Medicaid) $28,551 -10.9% 1
Healthcare Highways $28,436 -11.3% 3
AMBETTER CONTRACTED [320452] $27,735 -13.4% 2
NOVASYS HEALTH $27,735 -13.4% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $27,735 -13.4% 2
Home State Health (Centene Missouri Medicaid) $27,735 -13.4% 2
GLOBAL HEALTH $26,774 -16.4% 2
WORKERS COMP [20426] $19,285 -39.8% 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.