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 · HCPCS 19020 · LAFAYETTE, TN

19020 — Mastotomy Expl DRG Absc Dp

What each payer pays MACON COMMUNITY HOSPITAL (CCN 441305) 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.

$1,344 All-payer median here
$343 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 19020 →
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
   
PHCS (Private Healthcare Systems) $4,171 210.3% 2
Aetna $3,939 193.1% 2
Cigna Healthcare $2,924 117.6% 2
SELFPAY $2,781 106.9% 1
UnitedHealthcare $2,757 105.2% 4
Humana $2,526 87.9% 4
VA / CHAMPVA $1,344 0.0% 2
WellCare Health Plans $1,344 0.0% 2
Amerigroup $1,344 0.0% 2
MCRADV_BCBS $1,344 0.0% 2
MCRADV_CIGNA $1,344 0.0% 2
MCRADV_FARM_BUREAU $1,344 0.0% 2
Medicare (Generic) $1,344 0.0% 2
TRICARE $1,227 -8.7% 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.