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 · HCPCS C9765 · ARDMORE, OK

C9765 — Hc Revasc Intra Lithotrip-stent

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.

$23,510 All-payer median here
$25,470 Cash / self-pay here
40 payer/plan-name variants
← This hospital National rates for C9765 →
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] $39,184 66.7% 1
MULTIPLAN CONTRACTED [320270] $33,306 41.7% 2
PHCS (Private Healthcare Systems) $30,368 29.2% 2
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] $29,780 26.7% 1
Community Care, Inc. $27,429 16.7% 1
Medica $27,096 15.2% 2
Humana $27,037 15.0% 1
First Health Network $26,057 10.8% 1
HealthSCOPE Benefits EHC Repricing $25,470 8.3% 1
HEALTHSMART BENEFIT SOLUTIONS $25,470 8.3% 2
POINT C / MID-AMERICAN BENEFITS $25,470 8.3% 1
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] $25,470 8.3% 1
PREFERRED HEALTH PLAN CONTRACTED [320522] $25,470 8.3% 1
FEDERAL MEDICAL CENTER CONTRACTED [320127] $25,470 8.3% 1
HEALTHLINK PPO $24,490 4.2% 2
BENEFIT MANAGEMENT CONTRACTED [320052] $24,490 4.2% 2
UMR (UnitedHealthcare TPA) $24,392 3.7% 2
Cigna Healthcare $23,824 1.3% 1
YUZU HEALTH CONTRACTED [320521] $23,510 0.0% 1
AITHER HEALTH CONTRACTED [320449] $23,510 0.0% 2
AUXIANT CONTRACTED [320462] $23,510 0.0% 3
EBMS CONTRACTED [320493] $23,510 0.0% 1
IMAGINE360 ADMINISTRATORS (GPA) $23,510 0.0% 1
MERCY BENEFIT ADMIN CONTRACTED [320251] $23,510 0.0% 11
QUIK TRIP CONTRACTED [320447] $23,510 0.0% 1
REFLECT HEALTH (FORMERLY S&S HEALTHCARE) $23,510 0.0% 1
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] $23,510 0.0% 2
WORKERS COMP [20426] $23,510 0.0% 1
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] $23,314 -0.8% 1
GLOBAL HEALTH $23,119 -1.7% 1
Healthcare Highways $22,531 -4.2% 2
Aetna $21,061 -10.4% 2
UnitedHealthcare $19,239 -18.2% 2
OSMA HEALTH CONTRACTED [320292] $17,633 -25.0% 1
WEBTPA CONTRACTED [320417] $16,457 -30.0% 1
Home State Health (Centene Missouri Medicaid) $11,755 -50.0% 1
SUNFLOWER HEALTH PLAN CONTRACTED [320369] $11,755 -50.0% 1
AMBETTER CONTRACTED [320452] $11,755 -50.0% 1
NOVASYS CONTRACTED [320285] $11,755 -50.0% 1
HEALTH CHOICE CONTRACTED [320166] $3,918 -83.3% 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.