Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 43265 · STARKVILLE, MS

43265 — Ercp Lithotripsy Calculi

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.

$4,838 All-payer median here
$4,300 Cash / self-pay here
32 payer/plan-name variants
← This hospital National rates for 43265 →
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
   
MPCN $11,175 131.0% 1
BLUECROSS $5,375 11.1% 1
UnitedHealthcare $5,375 11.1% 2
Cigna Healthcare $5,375 11.1% 1
UNITED-MS_CHIP $5,375 11.1% 1
FLAT-RATE $5,375 11.1% 1
UMR (UnitedHealthcare TPA) $5,375 11.1% 1
GOLDEN RULE INSURANCE $5,375 11.1% 1
Molina Healthcare $5,375 11.1% 1
MEDICAID_MS $5,375 11.1% 1
MOLINA_CHIP $5,375 11.1% 1
NORTH AMERICA ADMIN $5,375 11.1% 1
STATE_OF_MS $5,375 11.1% 1
MPCN-CHIP $5,375 11.1% 1
Magnolia Health (Centene Mississippi Medicaid) $5,375 11.1% 1
GROUP_PENSION $4,838 0.0% 1
UNITED-INTEGRATED $4,838 0.0% 1
TRICARE $4,748 -1.9% 1
Medicare (Generic) $4,730 -2.2% 2
HUMANA_MA $4,730 -2.2% 1
MPEEBT $4,569 -5.6% 1
VA_PCCC $4,493 -7.1% 1
Centene $4,326 -10.6% 1
COMM_80 $4,300 -11.1% 1
MultiPlan $4,031 -16.7% 1
PPOPLUS $4,031 -16.7% 1
UNITED-STUDENT $4,031 -16.7% 1
HEALTHLINK $3,762 -22.2% 1
COMM_70 $3,762 -22.2% 1
Humana $3,762 -22.2% 1
FOXEVERETT $3,762 -22.2% 1
Aetna $3,225 -33.3% 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.