Payer comparison · HCPCS 43281 · HERMANN, MO

43281 — Lap Paraesophag Hern Repair

What each payer pays HERMANN AREA DISTRICT HOSPITAL (CCN 261314) 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.

$3,706 All-payer median here

$3,834 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for 43281 →

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

COMP RESULTS - ALL PLANS	$5,667	52.9%	2
Three Rivers Provider Network	$5,667	52.9%	2
COVENTRY - ALL PLANS	$5,352	44.4%	2
Anthem BCBS of Missouri	$5,125	38.3%	2
MultiPlan / PHCS Network	$4,722	27.4%	2
HEALTHLINK PPO	$4,403	18.8%	4
Aetna	$4,380	18.2%	4
Centene	$4,367	17.8%	3
ANTHEM BLUE ACCESS ALLIANCE	$4,200	13.3%	2
ANTHEM BLUE PREFERRED	$4,200	13.3%	2
HEALTHCARE USA MCAID- ALL PLANS	$4,093	10.4%	2
WellCare Health Plans	$3,233	-12.8%	4
AMERICAN HLTH MCR ADV- ALL PLANS	$2,770	-25.2%	2
Anthem (Elevance Health)	$2,729	-26.4%	3
Humana	$2,706	-27.0%	4
TRICARE	$2,493	-32.7%	2
UnitedHealthcare	$2,492	-32.8%	5
HEALTHY BLUE MCAID - ALL PLANS	$1,821	-50.9%	1
CARE PARTNERS MCAID- ALL PLANS	$562	-84.8%	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.