Payer comparison · CPT 4 · GALLATIN, TN

4 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

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.

$99,038 All-payer median here

$180,708 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 4 →

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	$430,638	334.8%	5
Centene	$193,561	95.4%	1
TRICARE	$138,713	40.1%	3
Cigna Healthcare	$123,504	24.7%	6
Bcbs Of Tn	$104,430	5.4%	6
Signature Health	$102,351	3.3%	2
Tennessee Rural Health Improvement Association	$98,660	-0.4%	2
Devoted Health	$98,660	-0.4%	2
Amerigroup	$98,190	-0.9%	2
UnitedHealthcare	$97,566	-1.5%	3
MultiPlan	$96,236	-2.8%	1
Novanet	$96,236	-2.8%	1
Pyramid	$96,153	-2.9%	1
US DEPARTMENT OF LABOR - BLACK LUNG	$96,153	-2.9%	1
Windsor Health	$96,153	-2.9%	1
Managed Medicare 100%	$95,786	-3.3%	2
Humana	$95,419	-3.7%	3
Community Health Network	$85,706	-13.5%	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.