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 853 · GALLATIN, TN

853 — Infectious And Parasitic Diseases With O.r. Procedures 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.

$40,216 All-payer median here
$34,176 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 853 →
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 $89,591 122.8% 4
Centene $68,511 70.4% 1
UnitedHealthcare $57,507 43.0% 2
Cigna Healthcare $54,332 35.1% 4
Bcbs Of Tn $45,344 12.8% 4
Community Health Network $42,077 4.6% 1
TRICARE $39,787 -1.1% 2
Signature Health $35,800 -11.0% 1
Devoted Health $34,787 -13.5% 1
Tennessee Rural Health Improvement Association $34,787 -13.5% 1
Amerigroup $33,773 -16.0% 1
Humana $33,773 -16.0% 2
Managed Medicare 100% $33,773 -16.0% 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.