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 · OTHER 469 · GALAX, VA

469 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Replacement

What each payer pays TWIN COUNTY REGIONAL HOSPITAL (CCN 490115) 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.

$26,492 All-payer median here
$12,558 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 469 →
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
   
Vaughan-Bassett Furniture Co. $35,998 35.9% 1
TRICARE $29,648 11.9% 1
Anthem BCBS of Virginia $28,988 9.4% 4
Clear Spring Health $27,286 3.0% 1
Humana $27,021 2.0% 1
Managed Medicare 100% $26,492 0.0% 1
Todays Options $26,492 0.0% 1
UnitedHealthcare $26,492 0.0% 3
Cigna Healthcare $24,427 -7.8% 2
Sentara Health Plans $22,363 -15.6% 2
Gateway Health Plan $22,363 -15.6% 1
Aetna $22,363 -15.6% 1
MBS (Formerly MedCost Benefit Services) $22,363 -15.6% 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.