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 0627T · BAKER CITY, OR

0627T — Perq Njx Algc Fluor Lmbr 1st

What each payer pays ST. ALPHONSUS MEDICAL CENTER - BAKER CITY (CCN 381315) 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.

$26,243 All-payer median here
$19,337 Cash / self-pay here
53 payer/plan-name variants
← This hospital National rates for 0627T →
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
   
PacificSource $44,198 68.4% 1
Woodgrain Millwork $27,072 3.2% 1
ALLEGIANCE $27,072 3.2% 3
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $26,519 1.1% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $26,519 1.1% 1
ASR Health Benefits $26,519 1.1% 1
GEHA (Government Employees Health Association) $26,519 1.1% 1
ATLANTIC MEDICAL INSURANCE $26,519 1.1% 1
BRITISH CAYMANIAN $26,519 1.1% 1
Rural Carrier Health Benefit Plan $26,519 1.1% 1
Christian Brothers Services $26,519 1.1% 1
ALLIED BENEFIT SYSTEMS $26,519 1.1% 1
Aetna $26,519 1.1% 7
COLONIAL MEDICAL $26,519 1.1% 1
Meritain Health $26,519 1.1% 1
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA) $26,519 1.1% 1
AMERICAN CONTINENTAL SUPPLEMENT $26,519 1.1% 1
MVP Health Care $26,243 0.0% 1
Allied National Global Care $26,243 0.0% 1
ASRM - RELIANCE STANDARD LIFE INSURANCE $26,243 0.0% 1
Christian Care Ministries (MediShare) $26,243 0.0% 1
CHRISTIAN CARE MINISTRY $26,243 0.0% 1
DEAN HEALTH $26,243 0.0% 1
Fallon Health $26,243 0.0% 1
Family Life Insurance Company $26,243 0.0% 1
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN $26,243 0.0% 1
INTERNATIONAL BENEFIT ADMINISTRATORS $26,243 0.0% 1
LIFETIME BENEFIT SOLUTIONS $26,243 0.0% 1
MANHATTAN LIFE $26,243 0.0% 1
MultiPlan $26,243 0.0% 1
PARAMOUNT HEALTH CARE $26,243 0.0% 1
PHCS (Private Healthcare Systems) $26,243 0.0% 1
PLANNED ADMINISTRATORS INCORPORATED (PAI) $26,243 0.0% 1
TRINITY HEALTH SHARE $26,243 0.0% 1
Providence Health & Services $25,828 -1.6% 1
Cigna Healthcare $25,690 -2.1% 1
UnitedHealthcare $25,690 -2.1% 1
Centene $25,690 -2.1% 1
SelectHealth $25,552 -2.6% 2
PAN-AMERICAN LIFE $25,414 -3.2% 3
First Choice Health $25,276 -3.7% 2
COLUMBIA HEALTH NETWORK $23,480 -10.5% 1
Moda $21,409 -18.4% 2
Moda Health $19,475 -25.8% 2
Humana $18,508 -29.5% 2
ID County Canyon $17,127 -34.7% 2
ID COUNTY PAYETTE $17,127 -34.7% 2
CENTURION OF IDAHO $17,127 -34.7% 2
ADA County Jail Inmate INS $17,127 -34.7% 2
ID County ADA $17,127 -34.7% 2
Molina Healthcare $12,707 -51.6% 1
Regence BCBS $12,707 -51.6% 1
Borderland $5,518 -79.0% 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.