Payer comparison · HCPCS 43860 · HERMANN, MO

43860 — Revise Stomach-bowel Fusion

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.

$7,300 All-payer median here

$6,942 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 43860 →

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	$10,261	40.5%	2
COMP RESULTS - ALL PLANS	$10,261	40.5%	2
COVENTRY - ALL PLANS	$9,691	32.7%	2
Anthem BCBS of Missouri	$9,280	27.1%	2
MultiPlan / PHCS Network	$8,551	17.1%	2
Centene	$8,026	9.9%	2
HEALTHLINK PPO	$7,972	9.2%	4
Aetna	$7,931	8.6%	4
ANTHEM BLUE PREFERRED	$7,604	4.2%	2
ANTHEM BLUE ACCESS ALLIANCE	$7,604	4.2%	2
HEALTHCARE USA MCAID- ALL PLANS	$7,410	1.5%	2
WellCare Health Plans	$5,853	-19.8%	4
Anthem (Elevance Health)	$5,016	-31.3%	2
AMERICAN HLTH MCR ADV- ALL PLANS	$5,016	-31.3%	2
Humana	$4,901	-32.9%	4
UnitedHealthcare	$4,615	-36.8%	4
TRICARE	$4,515	-38.2%	2
CARE PARTNERS MCAID- ALL PLANS	$562	-92.3%	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.