Payer comparison · HCPCS C2622 · FAYETTEVILLE, AR

C2622 — Prosthesis Penile Tactra 11mm 16-25cm

What each payer pays WASHINGTON REGIONAL MEDICAL CENTER (CCN 040004) 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.

$25,088 All-payer median here

$27,670 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for C2622 →

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

Municipal Health Plan	$40,583	61.8%	1
Ar State Workers Comp Plan	$36,894	47.1%	1
Self Pay Plan	$36,894	47.1%	1
QUALCHOICE ADVANTAGE	$36,894	47.1%	1
Spreemo Plan	$36,894	47.1%	1
Three Rivers Provider Network	$35,049	39.7%	1
Hpo Plan	$31,359	25.0%	1
US Health	$31,359	25.0%	1
MultiPlan / PHCS Network	$28,408	13.2%	1
Self Pay Classic Plan	$27,670	10.3%	1
Healthsouth Plan	$27,670	10.3%	1
Humana	$27,670	10.3%	1
Preferred Community Choice	$25,825	2.9%	1
Employers Health Plan	$25,825	2.9%	1
HEALTHLINK PPO	$25,088	0.0%	1
Ppoplus Plan	$23,981	-4.4%	1
COVENTRY HEALTH	$22,136	-11.8%	1
First Health Plan	$22,136	-11.8%	1
Sharp Healthcare	$21,767	-13.2%	1
Southern Health Partners Plan	$18,447	-26.5%	1
UnitedHealthcare	$16,713	-33.4%	1
Novasys Ambetter Marketplace Plan	$12,396	-50.6%	1
Aetna	$11,872	-52.7%	1
Cigna Healthcare	$11,806	-52.9%	1
Healthchoice Plan	$11,068	-55.9%	1
MO HealthNet (Missouri Medicaid)	$9,961	-60.3%	1
TX Medicaid	$8,486	-66.2%	1
Passe Empower Plan	<$1	-100.0%	1
Passe Ar Total Care Plan	<$1	-100.0%	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.