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 40814 · SPEARFISH, SD

40814 — Excise/repair Mouth Lesion

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.

$52,621 All-payer median here
$102,795 Cash / self-pay here
29 payer/plan-name variants
← This hospital National rates for 40814 →
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 $52,621 0.0% 2
ALLIED BENEFIT SYSTEMS INC [3081320] $52,621 0.0% 2
AVERA HEALTH PLANS 46045 [3081018] $52,621 0.0% 2
UnitedHealthcare $52,621 0.0% 8
UMR (UnitedHealthcare TPA) $52,621 0.0% 2
Cigna Healthcare $52,621 0.0% 6
CORESOURCE 38225 [3081146] $52,621 0.0% 2
EMPLOYEE BENEFIT MANAGEMENT 12X44 [3081079] $52,621 0.0% 2
Employee Benefit Services d/b/a Key Benefit Administrators $52,621 0.0% 2
FEDMED INC [3081283] $52,621 0.0% 2
GEHA (Government Employees Health Association) $52,621 0.0% 6
GOLDEN RULE INSURANCE $52,621 0.0% 2
GROUP AND PENSION ADMINISTRATORS INC [3081098] $52,621 0.0% 2
HealthPartners $52,621 0.0% 6
Aetna $52,621 0.0% 6
Medica $52,621 0.0% 8
Meritain Health $52,621 0.0% 4
Midlands Choice $52,621 0.0% 2
MultiPlan $52,621 0.0% 2
NATIONAL TELEPHONE COOPERATIVE ASSN 52103 [3081149] $52,621 0.0% 4
PacificSource $52,621 0.0% 2
PREFERRED ONE 41147 [3081160] $52,621 0.0% 2
ROCKY MOUNTAIN ADMIN LLC 83028 [3081168] $52,621 0.0% 2
Sanford Health $52,621 0.0% 2
Surest (UHC) $52,621 0.0% 2
Humana $29,076 -44.7% 4
BLUE CROSS BLUE SHIELD FEDERAL SB889 [3081027] $6,488 -87.7% 2
Wellmark BCBS $6,488 -87.7% 2
BLUE CROSS MEDICARE BLUE SB889 [3081024] $5,531 -89.5% 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.