Deep Dive
Payer Cross-Reference
Side-by-side: what your hospital filed in its Machine-Readable File versus what the payer filed for you in its Transparency in Coverage file. They are independent disclosures and are known to disagree.
Delta
TiC reports 16% higher than MRF for this combo.
MRF median $1,583 · TiC median $1,832
Δ +$249 (15.8%)
MRF · Hospital-reported
What your hospital filed
19 plans
| Plan | Rate | Methodology |
|---|---|---|
NMH AETNA ASA AETNA HEALTH PLAN [171] | $1,960 | percent of total billed charges |
NMH AETNA BP AETNA HEALTH PLAN [171] | $1,666 | percent of total billed charges |
NMH AETNA NM EMPLOYEES AETNA HEALTH PLAN [171] | $1,077 | percent of total billed charges |
NMH AETNA TRANSPLANT AETNA HEALTH PLAN [171] | — | other |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC IMAGINE HEALTH AETNA HEALTH PLAN [171] | $1,499 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
NMHC NON-CONTRACTED PAYORS AETNA HEALTH PLAN [171] | $5,553 | percent of total billed charges |
TiC · Payer-reported
What the payer filed for you
6 rows
| Plan network | Rate | Type |
|---|---|---|
Aetna Life Insurance Company.json.gz NPI 1497859649 | $1,832 | negotiated |
Aetna Life Insurance Company.json.gz NPI 1497859649 | $242 | derived |
Aetna Life Insurance Company.json.gz NPI 1497859649 | $242 | derived |
Aetna Life Insurance Company.json.gz NPI 1497859649 | $1,744 | derived |
Aetna Life Insurance Company.json.gz NPI 1497859649 | $1,832 | negotiated |
Aetna Life Insurance Company.json.gz NPI 1497859649 | $1,832 | derived |
MRF and TiC are independent filings of the same contract. They are known to diverge — that is the negotiation signal.
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