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 43645 · MONTICELLO, UT

43645 — Lap Gastr Bypass Incl Smll I

What each payer pays SAN JUAN HOSPITAL (CCN 461308) 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.

$3,328 All-payer median here
$2,588 Cash / self-pay here
23 payer/plan-name variants
← This hospital National rates for 43645 →
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
   
Medicaid - Nm $3,697 11.1% 1
Medicaid - Az $3,697 11.1% 1
Medicaid - Co $3,697 11.1% 1
Molina Healthcare $3,697 11.1% 1
EDUCATORS MUTUAL INSURANCE (EMI) $3,697 11.1% 1
Medicaid - Ut $3,697 11.1% 1
UnitedHealthcare $3,512 5.6% 1
DESERET MUTUAL BENEFIT ADMINISTRATORS $3,512 5.6% 1
SelectHealth $3,512 5.6% 2
Great-West Healthcare $3,439 3.3% 1
Wise Provider Networks $3,402 2.2% 1
PEHP (Public Employees Health Program) $3,402 2.2% 1
Aetna $3,328 0.0% 1
Blue Cross Blue Shield $3,328 0.0% 1
Cigna Healthcare $3,328 0.0% 1
MultiPlan $3,328 0.0% 1
University Of Utah Health Plans $3,328 0.0% 1
PHCS (Private Healthcare Systems) $3,143 -5.6% 2
Humana $2,668 -19.8% 2
Three Rivers Provider Network $2,218 -33.3% 1
TRICARE $1,824 -45.2% 3
Medicare (Generic) $1,824 -45.2% 1
Rocky Mountain Health Care Services $1,824 -45.2% 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.