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 426 · GALLATIN, TN

426 — Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically Designed Interbody Fusion Device

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.

$78,534 All-payer median here
$68,375 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 426 →
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 $155,339 97.8% 4
Centene $143,498 82.7% 1
UnitedHealthcare $120,451 53.4% 2
Cigna Healthcare $113,801 44.9% 4
Bcbs Of Tn $92,317 17.6% 4
Signature Health $74,984 -4.5% 1
Tennessee Rural Health Improvement Association $72,862 -7.2% 1
Devoted Health $72,862 -7.2% 1
Amerigroup $70,740 -9.9% 1
Humana $70,740 -9.9% 2
Managed Medicare 100% $70,740 -9.9% 1
TRICARE $49,653 -36.8% 2

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.