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 461 · GALLATIN, TN

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 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.

$41,786 All-payer median here
$28,597 Cash / self-pay here
16 payer/plan-name variants
← This hospital National rates for 461 →
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
   
Novanet $60,953 45.9% 2
MultiPlan $60,953 45.9% 2
TRICARE $56,957 36.3% 2
Cigna Healthcare $51,879 24.2% 4
Signature Health $43,906 5.1% 2
Amerigroup $42,805 2.4% 2
Devoted Health $41,990 0.5% 2
Tennessee Rural Health Improvement Association $41,990 0.5% 2
Humana $41,582 -0.5% 2
UnitedHealthcare $41,366 -1.0% 2
Windsor Health $40,767 -2.4% 2
Managed Medicare 100% $40,767 -2.4% 2
Pyramid $40,767 -2.4% 2
Aetna $40,767 -2.4% 2
US DEPARTMENT OF LABOR - BLACK LUNG $40,767 -2.4% 2
Bcbs Of Tn $40,102 -4.0% 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.