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 856 · PRICE, UT

856 — Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc

What each payer pays CASTLEVIEW HOSPITAL (CCN 460011) 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.

$118,290 All-payer median here
$116,204 Cash / self-pay here
34 payer/plan-name variants
← This hospital National rates for 856 →
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
   
UNION PACIFIC RAILROAD EMPLOYEES HEALTH SYSTEMS (UPREHS) $118,290 0.0% 1
Pipe Traders (Ut) $118,290 0.0% 1
SelectHealth $118,290 0.0% 2
Teamster (Ut/Id) $118,290 0.0% 1
Wise Provider Network - Ibew $118,290 0.0% 1
UMR (UnitedHealthcare TPA) $118,290 0.0% 1
University Of Utah $118,290 0.0% 1
Utah American $118,290 0.0% 1
Utah Health $118,290 0.0% 1
BeechStreet Corporation $118,290 0.0% 1
Centene $118,290 0.0% 1
Cigna Healthcare $118,290 0.0% 1
Coresource $118,290 0.0% 1
Deseret Mutual Benefit Admin (Dmba) $118,290 0.0% 1
EDUCATORS MUTUAL INSURANCE (EMI) $118,290 0.0% 1
GEHA (Government Employees Health Association) $118,290 0.0% 1
Health Utah $118,290 0.0% 1
Jaswise $118,290 0.0% 1
Allied $118,290 0.0% 1
Arches $118,290 0.0% 1
PEHP (Public Employees Health Program) $118,290 0.0% 1
Wise $89,088 -24.7% 2
Aetna $77,524 -34.5% 2
Bcbs Of Ut $53,207 -55.0% 2
American Health Plan Of Utah $38,597 -67.4% 1
UnitedHealthcare $37,862 -68.0% 3
Molina Healthcare $36,759 -68.9% 1
Humana $36,759 -68.9% 1
Managed Medicare 100% $36,759 -68.9% 1
Advantra $36,759 -68.9% 1
MVP Health Care $36,759 -68.9% 1
UMWA Health and Retirement Funds $36,759 -68.9% 1
VA / CHAMPVA $32,229 -72.8% 1
TRICARE $32,229 -72.8% 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.