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 · CPT 33249 · ARDMORE, OK

33249 — Insj/rplcmt Defib W/lead(s)

What each payer pays MERCY HOSPITAL ARDMORE, INC (CCN 370047) 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
$18,693 Cash / self-pay here
79 payer/plan-name variants
← This hospital National rates for 33249 →
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
   
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] $75,328 135.1% 2
HEALTHSMART BENEFIT SOLUTIONS $72,097 125.0% 5
KEMPTON CONTRACTED [320214] $72,097 125.0% 1
UMR (UnitedHealthcare TPA) $61,891 93.2% 4
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $61,891 93.2% 2
MULTIPLAN CONTRACTED [320270] $61,700 92.6% 4
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] $57,249 78.7% 2
PHCS (Private Healthcare Systems) $57,215 78.6% 4
UnitedHealthcare $51,253 60.0% 5
First Health Network $50,093 56.3% 2
Community Care, Inc. $48,994 52.9% 3
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $48,963 52.8% 2
HealthSCOPE Benefits EHC Repricing $48,963 52.8% 2
POINT C / MID-AMERICAN BENEFITS $48,963 52.8% 2
PREFERRED HEALTH PLAN CONTRACTED [320522] $48,963 52.8% 2
FEDERAL MEDICAL CENTER CONTRACTED [320127] $48,963 52.8% 2
BENEFIT MANAGEMENT CONTRACTED [320052] $45,915 43.3% 4
AUXIANT CONTRACTED [320462] $45,915 43.3% 6
MERCY BENEFIT ADMIN CONTRACTED [320251] $45,915 43.3% 22
HEALTHLINK PPO $45,915 43.3% 4
IMAGINE360 ADMINISTRATORS (GPA) $45,196 41.1% 2
AITHER HEALTH CONTRACTED [320449] $45,196 41.1% 4
EBMS CONTRACTED [320493] $45,196 41.1% 2
YUZU HEALTH CONTRACTED [320521] $45,196 41.1% 2
QUIK TRIP CONTRACTED [320447] $45,196 41.1% 2
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $45,196 41.1% 2
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $45,196 41.1% 4
WORKERS COMP [20426] $44,479 38.8% 2
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $40,332 25.9% 2
AMBETTER CONTRACTED [320452] $40,332 25.9% 2
NOVASYS CONTRACTED [320285] $40,332 25.9% 2
Home State Health (Centene Missouri Medicaid) $40,332 25.9% 2
Medica $39,675 23.8% 4
HEALTH CHOICE CONTRACTED [320166] $38,156 19.1% 2
Devoted Health $33,969 6.0% 1
OSMA HEALTH CONTRACTED [320292] $33,897 5.8% 2
Cigna Healthcare $33,022 3.1% 3
GLOBAL HEALTH $32,696 2.0% 3
Medica Holding Company $32,663 1.9% 1
BLUE CROSS AND BLUE SHIELD [20053] $32,062 0.1% 4
MC ANTHEM [20455] $32,062 0.1% 1
MC GENERIC ANTHEM [20456] $32,062 0.1% 1
TRICARE $32,042 0.0% 1
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] $32,042 0.0% 1
AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] $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 [20444] $32,042 0.0% 1
Medicare (Generic) $32,042 0.0% 1
MENTAL HEALTH NETWORK MEDICARE [20250] $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 MEDICARE ADVANTAGE CONTRACTED [320496] $32,042 0.0% 1
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] $32,042 0.0% 1
QUAL CHOICE CONTRACTED [320325] $32,042 0.0% 1
TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] $32,042 0.0% 1
VA COMMUNITY CARE NETWORK $32,042 0.0% 1
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] $32,042 0.0% 1
WINDSOR MEDICARE [20424] $32,042 0.0% 1
WEBTPA CONTRACTED [320417] $31,638 -1.3% 2
Humana $30,607 -4.5% 4
Aetna $28,551 -10.9% 5
Oklahoma Complete Care (Centene OK Medicaid) $28,551 -10.9% 1
Medicaid (Generic) $28,551 -10.9% 1
Healthcare Highways $17,255 -46.2% 3

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.