Payer comparison · HCPCS 31259 · ONEIDA, NY

31259 — Nsl/sins Ndsc Sphn Tiss Rmvl

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.

$5,717 All-payer median here

$9,942 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for 31259 →

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	$18,640	226.1%	2
MultiPlan	$9,957	74.2%	4
EmblemHealth	$9,957	74.2%	4
CASH	$9,632	68.5%	4
WellCare Health Plans	$8,438	47.6%	2
Aetna	$8,192	43.3%	6
Humana	$8,192	43.3%	2
Martin's Point Health Care, Inc.	$8,192	43.3%	2
MCRBLUE	$8,192	43.3%	2
Medicare (Generic)	$8,192	43.3%	2
TRICARE	$8,192	43.3%	2
POMCO Group	$8,181	43.1%	8
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$7,520	31.5%	8
MCRCDPHP	$5,857	2.5%	4
UnitedHealthcare	$4,808	-15.9%	12
MVP Health Care	$3,594	-37.1%	8
MEDICAID_1402	$3,093	-45.9%	2
Medicaid (Generic)	$3,032	-47.0%	2
MEDICAID_1432	$2,820	-50.7%	2
FIDELIS CARE (CENTERCARE)	$2,248	-60.7%	14
AMISH_ED	$1,668	-70.8%	2
AMISH_ASU	$1,634	-71.4%	2
BLUE-SP_1402	$1,423	-75.1%	2
BLUE-CHP_1402	$1,423	-75.1%	2
BLUE-MCD_1402	$1,423	-75.1%	2
BLUE-MCD_1401	$1,395	-75.6%	2
BLUE-SP_1401	$1,395	-75.6%	2
MVP-MCD_1401	$1,395	-75.6%	2
BLUE-CHP_1401	$1,395	-75.6%	2
BLUE-SP_1432	$1,298	-77.3%	2
BLUE-CHP_1432	$1,298	-77.3%	2
BLUE-MCD_1432	$1,298	-77.3%	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.