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 A9504 · BAKER CITY, OR

A9504 — Technetium Tc-99m Apcitide Diagnostic Per Study Dose Up To 20 Millicuries

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.

$42,370 All-payer median here
$31,220 Cash / self-pay here
52 payer/plan-name variants
← This hospital National rates for A9504 →
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 $71,360 68.4% 1
ALLEGIANCE $43,708 3.2% 3
Woodgrain Millwork $43,708 3.2% 1
AMERICAN CONTINENTAL SUPPLEMENT $42,816 1.1% 1
ASR Health Benefits $42,816 1.1% 1
ATLANTIC MEDICAL INSURANCE $42,816 1.1% 1
BRITISH CAYMANIAN $42,816 1.1% 1
Christian Brothers Services $42,816 1.1% 1
Aetna $42,816 1.1% 7
ALLIED BENEFIT SYSTEMS $42,816 1.1% 1
COLONIAL MEDICAL $42,816 1.1% 1
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $42,816 1.1% 1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $42,816 1.1% 1
GEHA (Government Employees Health Association) $42,816 1.1% 1
LUMINARE HEALTH (AZ, IL, IN, MD, MN, NC, PA) $42,816 1.1% 1
Meritain Health $42,816 1.1% 1
Rural Carrier Health Benefit Plan $42,816 1.1% 1
MVP Health Care $42,370 0.0% 1
DEAN HEALTH $42,370 0.0% 1
MultiPlan $42,370 0.0% 1
Allied National Global Care $42,370 0.0% 1
Fallon Health $42,370 0.0% 1
Family Life Insurance Company $42,370 0.0% 1
CHRISTIAN CARE MINISTRY $42,370 0.0% 1
Christian Care Ministries (MediShare) $42,370 0.0% 1
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN $42,370 0.0% 1
PLANNED ADMINISTRATORS INCORPORATED (PAI) $42,370 0.0% 1
PHCS (Private Healthcare Systems) $42,370 0.0% 1
PARAMOUNT HEALTH CARE $42,370 0.0% 1
ASRM - RELIANCE STANDARD LIFE INSURANCE $42,370 0.0% 1
INTERNATIONAL BENEFIT ADMINISTRATORS $42,370 0.0% 1
LIFETIME BENEFIT SOLUTIONS $42,370 0.0% 1
TRINITY HEALTH SHARE $42,370 0.0% 1
MANHATTAN LIFE $42,370 0.0% 1
Providence Health & Services $41,701 -1.6% 1
UnitedHealthcare $41,478 -2.1% 1
Centene $41,478 -2.1% 1
Cigna Healthcare $41,478 -2.1% 1
SelectHealth $41,255 -2.6% 2
PAN-AMERICAN LIFE $41,032 -3.2% 3
First Choice Health $40,809 -3.7% 2
COLUMBIA HEALTH NETWORK $37,910 -10.5% 1
Moda $34,565 -18.4% 2
Moda Health $31,443 -25.8% 2
Humana $29,882 -29.5% 2
ID County ADA $27,652 -34.7% 2
CENTURION OF IDAHO $27,652 -34.7% 2
ADA County Jail Inmate INS $27,652 -34.7% 2
ID County Canyon $27,652 -34.7% 2
ID COUNTY PAYETTE $27,652 -34.7% 2
Molina Healthcare $20,516 -51.6% 1
Regence BCBS $20,516 -51.6% 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.