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 466 · GALLATIN, TN

466 — Revision Of Hip Or Knee Replacement 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.

$39,436 All-payer median here
$22,758 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 466 →
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
   
Centene $69,789 77.0% 1
Aetna $64,025 62.3% 4
UnitedHealthcare $58,580 48.5% 2
Cigna Healthcare $55,346 40.3% 4
TRICARE $49,836 26.4% 2
Community Health Network $39,436 0.0% 1
Bcbs Of Tn $36,608 -7.2% 4
Signature Health $36,468 -7.5% 1
Devoted Health $35,436 -10.1% 1
Tennessee Rural Health Improvement Association $35,436 -10.1% 1
Amerigroup $34,403 -12.8% 1
Humana $34,403 -12.8% 2
Managed Medicare 100% $34,403 -12.8% 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.