Payer comparison · HCPCS 43500 · HERMANN, MO

43500 — Surgical Opening Of Stomach

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.

$3,797 All-payer median here

$3,610 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 43500 →

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

Three Rivers Provider Network	$5,336	40.5%	2
COMP RESULTS - ALL PLANS	$5,336	40.5%	2
COVENTRY - ALL PLANS	$5,039	32.7%	2
Anthem BCBS of Missouri	$4,826	27.1%	2
MultiPlan / PHCS Network	$4,446	17.1%	2
Centene	$4,174	9.9%	2
HEALTHLINK PPO	$4,146	9.2%	4
Aetna	$4,124	8.6%	4
ANTHEM BLUE PREFERRED	$3,954	4.2%	2
ANTHEM BLUE ACCESS ALLIANCE	$3,954	4.2%	2
HEALTHCARE USA MCAID- ALL PLANS	$3,854	1.5%	2
WellCare Health Plans	$3,044	-19.8%	4
Anthem (Elevance Health)	$2,609	-31.3%	2
AMERICAN HLTH MCR ADV- ALL PLANS	$2,609	-31.3%	2
Humana	$2,548	-32.9%	4
UnitedHealthcare	$2,400	-36.8%	4
TRICARE	$2,348	-38.2%	2
CARE PARTNERS MCAID- ALL PLANS	$562	-85.2%	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.