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 · OTHER 275 · GALLATIN, TN

275 — Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc

What each payer pays HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA (CCN 440003) 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.

$52,907 All-payer median here
$146,069 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 275 →
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
   
Aetna $333,877 531.1% 4
Centene $96,808 83.0% 1
UnitedHealthcare $81,259 53.6% 2
Cigna Healthcare $76,773 45.1% 4
Bcbs Of Tn $62,280 17.7% 4
Signature Health $50,586 -4.4% 1
Tennessee Rural Health Improvement Association $49,155 -7.1% 1
Devoted Health $49,155 -7.1% 1
TRICARE $48,038 -9.2% 2
Amerigroup $47,723 -9.8% 1
Humana $47,723 -9.8% 2
Managed Medicare 100% $47,723 -9.8% 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.