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 55040 · MONTICELLO, UT

55040 — Removal Of Hydrocele

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.

$5,170 All-payer median here
$4,021 Cash / self-pay here
23 payer/plan-name variants
← This hospital National rates for 55040 →
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 - Co $5,745 11.1% 1
EDUCATORS MUTUAL INSURANCE (EMI) $5,745 11.1% 1
Medicaid - Az $5,745 11.1% 1
Medicaid - Nm $5,745 11.1% 1
UnitedHealthcare $5,458 5.6% 1
DESERET MUTUAL BENEFIT ADMINISTRATORS $5,458 5.6% 1
Great-West Healthcare $5,343 3.3% 1
Wise Provider Networks $5,285 2.2% 1
PEHP (Public Employees Health Program) $5,285 2.2% 1
Aetna $5,170 0.0% 1
Blue Cross Blue Shield $5,170 0.0% 1
Cigna Healthcare $5,170 0.0% 1
MultiPlan $5,170 0.0% 1
University Of Utah Health Plans $5,170 0.0% 1
PHCS (Private Healthcare Systems) $4,883 -5.6% 2
Three Rivers Provider Network $3,447 -33.3% 1
Humana $2,898 -43.9% 2
SelectHealth $2,711 -47.6% 2
Rocky Mountain Health Care Services $339 -93.4% 1
TRICARE $339 -93.4% 3
Medicare (Generic) $339 -93.4% 1
Medicaid - Ut $252 -95.1% 1
Molina Healthcare $252 -95.1% 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.