Payer comparison · HCPCS 23405 · ONEIDA, NY

23405 — Incision Of Tendon & Muscle

What each payer pays ONEIDA HEALTH HOSPITAL (CCN 330115) 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.

$6,625 All-payer median here

$102 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for 23405 →

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

BLUECROSS	$19,236	190.4%	2
MultiPlan	$13,715	107.0%	4
EmblemHealth	$13,715	107.0%	4
CASH	$13,267	100.3%	4
POMCO Group	$11,064	67.0%	8
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$9,333	40.9%	8
WellCare Health Plans	$8,707	31.4%	2
Aetna	$8,454	27.6%	6
Humana	$8,454	27.6%	2
Martin's Point Health Care, Inc.	$8,454	27.6%	2
MCRBLUE	$8,454	27.6%	2
Medicare (Generic)	$8,454	27.6%	2
TRICARE	$8,454	27.6%	2
MCRCDPHP	$8,068	21.8%	4
UnitedHealthcare	$5,195	-21.6%	12
MVP Health Care	$3,850	-41.9%	8
FIDELIS CARE (CENTERCARE)	$3,057	-53.8%	14
AMISH_ED	$2,268	-65.8%	2
AMISH_ASU	$2,223	-66.4%	2
MEDICAID_1402	$2,062	-68.9%	2
Medicaid (Generic)	$2,021	-69.5%	2
BLUE-MCD_1402	$1,936	-70.8%	2
BLUE-CHP_1402	$1,936	-70.8%	2
BLUE-SP_1402	$1,936	-70.8%	2
MVP-MCD_1401	$1,897	-71.4%	2
BLUE-CHP_1401	$1,897	-71.4%	2
BLUE-SP_1401	$1,897	-71.4%	2
BLUE-MCD_1401	$1,897	-71.4%	2
MEDICAID_1432	$1,879	-71.6%	2
BLUE-SP_1432	$1,765	-73.4%	2
BLUE-CHP_1432	$1,765	-73.4%	2
BLUE-MCD_1432	$1,765	-73.4%	2

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.