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 · CPT 1102991037 · PETERSBURG, WV

1102991037 — Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml

What each payer pays GRANT MEMORIAL HOSPITAL (CCN 511316) 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.

$2,214 All-payer median here
$3 Cash / self-pay here
8 payer/plan-name variants
← This hospital National rates for 1102991037 →
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
   
4 Most Zelis Stratose $2,214 0.0% 1
Aetna $2,214 0.0% 2
CareSource $2,214 0.0% 1
Cigna Healthcare $2,214 0.0% 1
Health Plan Of The Upper Ohio Valley $2,214 0.0% 1
MultiPlan $2,214 0.0% 1
UMWA Health and Retirement Funds $2,214 0.0% 1
UnitedHealthcare $2,214 0.0% 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.