Price Transparencybeta 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 454 · POWELL, TN

454 — Combined Anterior And Posterior Spinal Fusion With Cc

What each payer pays PHYSICIANS REGIONAL MEDICAL CENTER (CCN 440120) 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.

$41,306 All-payer median here
18 payer/plan-name variants
← This hospital National rates for 454 →
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 $79,949 93.6% 1
POINT COMFORT UNDERWRITERS $75,640 83.1% 1
US Department of Labor (OWCP) $59,297 43.6% 1
MultiPlan $55,998 35.6% 2
Node Nhc Mcr Adv $44,111 6.8% 1
Devoted Health $43,233 4.7% 1
WellCare Health Plans $42,414 2.7% 1
Aetna $41,306 0.0% 1
Cigna Healthcare $41,306 0.0% 1
Centers for Medicare & Medicaid Services $41,245 -0.1% 2
UnitedHealthcare $41,105 -0.5% 2
VA / CHAMPVA $40,887 -1.0% 3
Node Farm Bureau Mcr Adv $40,802 -1.2% 1
Humana $40,104 -2.9% 1
BCBS of Tennessee $38,874 -5.9% 3
Amerigroup $32,790 -20.6% 2
TRICARE $26,117 -36.8% 1
Self Pay $20,294 -50.9% 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.