Payer comparison · CPT 37231 · O FALLON, IL

37231 — Tib/per Revasc Stent & Ather

What each payer pays HSHS ST ELIZABETH'S HOSPITAL (CCN 140187) 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.

$55,839 All-payer median here

$54,111 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for 37231 →

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

ILLINOIS BREAST AND CERVICAL CANCER PROGRAM	$75,154	34.6%	2
BCBS of Illinois	$75,154	34.6%	13
BLUE CROSS SIHCA	$75,154	34.6%	2
CONSOCIATE GROUP	$75,154	34.6%	2
CURRENT HEALTH SOLUTIONS	$75,154	34.6%	2
HealthSCOPE Benefits EHC Repricing	$75,154	34.6%	2
INTERPLAN	$75,154	34.6%	2
Provider Network of America (PNOA)	$67,639	21.1%	2
HEALTHCARE'S FINEST NETWORK (HFN)	$63,881	14.4%	2
MultiPlan / PHCS Network	$60,123	7.7%	2
HEALTHLINK	$58,244	4.3%	8
First Health Network	$55,839	0.0%	2
HOPETRUST	$46,796	-16.2%	1
CLAIM DOC	$46,796	-16.2%	1
HEALTH ALLIANCE MEDICAL PLANS	$44,641	-20.1%	7
Naphcare Inc	$42,116	-24.6%	1
Centene	$40,057	-28.3%	1
Cigna Healthcare	$36,149	-35.3%	2
WELLFIRST	$35,736	-36.0%	2
Aetna	$26,720	-52.1%	6
AMISH COMMUNITY	$21,043	-62.3%	4
SAE HOSPICE	$18,718	-66.5%	1
UnitedHealthcare	$18,718	-66.5%	5
Humana	$18,718	-66.5%	1
Clear Spring Health	$18,718	-66.5%	1
LIVE360	$18,718	-66.5%	1
CATERPILLAR, INC.	$11,750	-79.0%	1
Meridian Health Plan of Illinois	$10,201	-81.7%	2
Molina Healthcare	$9,740	-82.6%	3
WEXFORD	$9,274	-83.4%	2

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.