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 12042 · CASTANER, PR

12042 — Intmd Rpr N-hf/genit2.6-7.5

What each payer pays HOSPITAL GENERAL DE CASTANER (CCN 400010) 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.

$227 All-payer median here
$352 Cash / self-pay here
7 payer/plan-name variants
← This hospital National rates for 12042 →
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
   
TRIPLE S ADVANTAGE $304 34.0% 1
Medicare y Mucho Mas $304 34.0% 1
Humana $304 34.0% 1
MCS Privado $227 0.0% 1
International Medical Card $227 0.0% 1
FIRST MEDICAL HEALTH PLAN (REFORM) $150 -34.0% 1
Triple S VITAL $150 -34.0% 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.