Price Transparencybeta 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 27416 · SPEARFISH, SD

27416 — Osteochondral Knee Autograft

What each payer pays MONUMENT HEALTH SPEARFISH HOSPITAL (CCN 430048) 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.

$39,836 All-payer median here
$76,489 Cash / self-pay here
29 payer/plan-name variants
← This hospital National rates for 27416 →
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
   
TLC Advantage of Sioux Falls $39,836 0.0% 2
ALLIED BENEFIT SYSTEMS INC [3081320] $39,836 0.0% 2
AVERA HEALTH PLANS 46045 [3081018] $39,836 0.0% 2
UnitedHealthcare $39,836 0.0% 8
UMR (UnitedHealthcare TPA) $39,836 0.0% 2
Cigna Healthcare $39,836 0.0% 6
CORESOURCE 38225 [3081146] $39,836 0.0% 2
EMPLOYEE BENEFIT MANAGEMENT 12X44 [3081079] $39,836 0.0% 2
Employee Benefit Services d/b/a Key Benefit Administrators $39,836 0.0% 2
FEDMED INC [3081283] $39,836 0.0% 2
GEHA (Government Employees Health Association) $39,836 0.0% 6
GOLDEN RULE INSURANCE $39,836 0.0% 2
GROUP AND PENSION ADMINISTRATORS INC [3081098] $39,836 0.0% 2
HealthPartners $39,836 0.0% 6
Aetna $39,836 0.0% 6
Medica $39,836 0.0% 8
Meritain Health $39,836 0.0% 4
Midlands Choice $39,836 0.0% 2
MultiPlan $39,836 0.0% 2
NATIONAL TELEPHONE COOPERATIVE ASSN 52103 [3081149] $39,836 0.0% 4
PacificSource $39,836 0.0% 2
PREFERRED ONE 41147 [3081160] $39,836 0.0% 2
ROCKY MOUNTAIN ADMIN LLC 83028 [3081168] $39,836 0.0% 2
Sanford Health $39,836 0.0% 2
Surest (UHC) $39,836 0.0% 2
Humana $22,656 -43.1% 4
BLUE CROSS BLUE SHIELD FEDERAL SB889 [3081027] $14,968 -62.4% 2
Wellmark BCBS $14,968 -62.4% 2
BLUE CROSS MEDICARE BLUE SB889 [3081024] $5,477 -86.3% 4

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.