Payer comparison · HCPCS 43274 · STARKVILLE, MS

43274 — Ercp Duct Stent Placement

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.

$4,793 All-payer median here

$4,300 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for 43274 →

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	133.2%	1
MPCN-CHIP	$5,375	12.2%	1
UnitedHealthcare	$5,375	12.2%	2
Cigna Healthcare	$5,375	12.2%	1
UNITED-MS_CHIP	$5,375	12.2%	1
FLAT-RATE	$5,375	12.2%	1
UMR (UnitedHealthcare TPA)	$5,375	12.2%	1
GOLDEN RULE INSURANCE	$5,375	12.2%	1
MOLINA_CHIP	$5,375	12.2%	1
MEDICAID_MS	$5,375	12.2%	1
Molina Healthcare	$5,375	12.2%	1
NORTH AMERICA ADMIN	$5,375	12.2%	1
STATE_OF_MS	$5,375	12.2%	1
Magnolia Health (Centene Mississippi Medicaid)	$5,375	12.2%	1
GROUP_PENSION	$4,838	0.9%	1
UNITED-INTEGRATED	$4,838	0.9%	1
TRICARE	$4,748	-0.9%	1
Medicare (Generic)	$4,730	-1.3%	2
HUMANA_MA	$4,730	-1.3%	1
BLUECROSS	$4,569	-4.7%	1
MPEEBT	$4,569	-4.7%	1
VA_PCCC	$4,493	-6.2%	1
Centene	$4,326	-9.7%	1
COMM_80	$4,300	-10.3%	1
MultiPlan	$4,031	-15.9%	1
PPOPLUS	$4,031	-15.9%	1
UNITED-STUDENT	$4,031	-15.9%	1
HEALTHLINK	$3,762	-21.5%	1
COMM_70	$3,762	-21.5%	1
Humana	$3,762	-21.5%	1
FOXEVERETT	$3,762	-21.5%	1
Aetna	$3,225	-32.7%	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.