Payer comparison · HCPCS 31238 · STARKVILLE, MS

31238 — Nsl/sins Ndsc Srg Nsl Hemrrg

What each payer pays OCH REGIONAL MEDICAL CENTER (CCN 250050) 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.

$3,167 All-payer median here

$3,555 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for 31238 →

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

FLAT-RATE	$4,444	40.3%	1
UMR (UnitedHealthcare TPA)	$4,013	26.7%	2
GOLDEN RULE INSURANCE	$4,013	26.7%	2
GROUP_PENSION	$4,000	26.3%	2
UNITED-INTEGRATED	$4,000	26.3%	2
UnitedHealthcare	$3,868	22.1%	3
MPEEBT	$3,777	19.3%	2
MOLINA_CHIP	$3,713	17.3%	2
COMM_80	$3,555	12.3%	1
MPCN-CHIP	$3,531	11.5%	2
Cigna Healthcare	$3,497	10.4%	2
MPCN	$3,460	9.3%	2
UNITED-MS_CHIP	$3,424	8.1%	1
UNITED-STUDENT	$3,333	5.3%	2
MultiPlan	$3,333	5.3%	2
PPOPLUS	$3,333	5.3%	2
Humana	$3,111	-1.8%	2
COMM_70	$3,111	-1.8%	1
FOXEVERETT	$3,111	-1.8%	2
HEALTHLINK	$3,111	-1.8%	2
NORTH AMERICA ADMIN	$3,090	-2.4%	2
BLUECROSS	$2,670	-15.7%	2
Molina Healthcare	$2,555	-19.3%	2
Magnolia Health (Centene Mississippi Medicaid)	$2,555	-19.3%	2
MEDICAID_MS	$2,538	-19.8%	1
STATE_OF_MS	$2,361	-25.5%	2
TRICARE	$1,474	-53.4%	2
HUMANA_MA	$1,472	-53.5%	2
Medicare (Generic)	$1,409	-55.5%	3
VA_PCCC	$1,398	-55.9%	2
Centene	$1,336	-57.8%	2
MSCAN_TRUECARE	$1,314	-58.5%	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.