Payer comparison · HCPCS 43825 · FAIRFIELD, IL

43825 — Fusion Of Stomach And Bowel

What each payer pays FAIRFIELD MEMORIAL HOSPITAL 1 (CCN 141311) 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.

$18,184 All-payer median here

$22,381 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for 43825 →

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

PHCS (Private Healthcare Systems)	$25,178	38.5%	2
Aetna	$25,178	38.5%	2
THREE_RIVERS	$25,178	38.5%	2
MultiPlan	$25,178	38.5%	2
HEALTH_ALLIANCE	$23,780	30.8%	2
HEALTHCARE'S FINEST NETWORK (HFN)	$23,780	30.8%	2
HEALTHLINK_PPO	$22,381	23.1%	2
WELLFIRST	$20,143	10.8%	2
BCBS of Illinois	$19,779	8.8%	2
HEALTHLINK_HMO	$19,583	7.7%	2
BCBS_IL	$19,575	7.6%	2
UnitedHealthcare	$19,303	6.2%	2
HST	$18,744	3.1%	2
Cigna Healthcare	$17,345	-4.6%	2
HOPE_TRUST	$15,107	-16.9%	2
Humana	$12,449	-31.5%	4
ALLIANCE_COAL	$10,071	-44.6%	2
VA COMMUNITY CARE NETWORK	$7,833	-56.9%	2
BCBS_MEDADV	$6,849	-62.3%	2
MOLINA_MP	$6,714	-63.1%	2
WellCare Health Plans	$6,714	-63.1%	2
Molina Healthcare	$6,714	-63.1%	2
MCO_ABH	$2,212	-87.8%	2
MCO_MOLINA	$2,212	-87.8%	2
MCO_MERIDIAN	$2,212	-87.8%	2
MCO_CHP_BLUECROSS	$2,212	-87.8%	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.