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 99221 · JACKSON, TN

99221 — 1st Hosp Ip/obs Sf/low 40

What each payer pays PATHWAYS OF TENNESSEE, INC (CCN 444010) 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.

$87 All-payer median here
12 payer/plan-name variants
← This hospital National rates for 99221 →
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 $187 114.4% 1
MHN (Managed Health Network) $124 41.8% 1
Blue Cross Blue Shield Association $121 38.1% 1
Medicare (Generic) $97 11.1% 1
Humana $94 7.5% 1
Amerigroup $87 0.0% 1
Cigna Healthcare $81 -7.2% 2
BCBS of Tennessee $80 -8.9% 1
UnitedHealthcare $76 -13.2% 1
Vo $55 -37.1% 1
Americhoice Secure Plus $50 -42.8% 1
United Behavioral Health (Optum) $50 -42.8% 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.