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 →

0278 — Biological Tissue Implants Graft Biological

What each payer pays TROY COMMUNITY HOSPITAL (CCN 391305) 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.

$1,138 All-payer median here
$1,982 Cash / self-pay here
26 payer/plan-name variants
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
   
FIDELIS CARE (CENTERCARE) $2,227 95.6% 342
Molina Healthcare $2,227 95.6% 342
MultiPlan $1,967 72.8% 345
Devon $1,967 72.8% 345
Centene $1,813 59.3% 1,238
Health Assurance $1,781 56.5% 342
MVP Health Care $1,717 50.8% 1,458
POMCO Group $1,670 46.7% 342
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $1,508 32.5% 1,035
UPMC Health Plan $1,214 6.7% 838
HealthPartners $1,194 4.9% 532
TRICARE $1,144 0.5% 351
Aetna $1,141 0.3% 693
Core $1,113 -2.2% 342
UnitedHealthcare $1,107 -2.8% 1,520
Mail Handlers $1,102 -3.2% 342
Meshoppen $1,080 -5.1% 342
WellCare Health Plans $1,043 -8.4% 1,031
Blue Cross Blue Shield Association $838 -26.3% 2,621
AMERIHEALTH NEW JERSEY (NON-HMO) $767 -32.6% 520
Cigna Healthcare $675 -40.7% 350
Geisinger Health Plan $607 -46.7% 946
Icircle $470 -58.7% 343
Highmark BCBS $443 -61.1% 341
Humana $415 -63.6% 342
EmblemHealth $403 -64.6% 341

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.