Payer comparison · HCPCS 52353 · ONEIDA, NY

52353 — Cystouretero W/lithotripsy

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.

$5,078 All-payer median here

$4,925 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for 52353 →

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	$13,689	169.6%	2
MultiPlan	$9,123	79.7%	4
EmblemHealth	$9,123	79.7%	4
CASH	$8,825	73.8%	4
POMCO Group	$7,415	46.0%	8
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$6,486	27.7%	8
Aetna	$6,316	24.4%	6
WellCare Health Plans	$6,196	22.0%	2
Humana	$6,016	18.5%	2
TRICARE	$6,016	18.5%	2
Medicare (Generic)	$6,016	18.5%	2
MCRBLUE	$6,016	18.5%	2
Martin's Point Health Care, Inc.	$6,016	18.5%	2
MCRCDPHP	$5,367	5.7%	4
UnitedHealthcare	$3,622	-28.7%	12
MVP Health Care	$3,509	-30.9%	10
FIDELIS CARE (CENTERCARE)	$1,939	-61.8%	14
AMISH_ED	$1,438	-71.7%	2
AMISH_ASU	$1,410	-72.2%	2
MEDICAID_1402	$1,308	-74.2%	2
Medicaid (Generic)	$1,282	-74.8%	2
BLUE-SP_1402	$1,228	-75.8%	2
BLUE-CHP_1402	$1,228	-75.8%	2
BLUE-MCD_1402	$1,228	-75.8%	2
BLUE-CHP_1401	$1,204	-76.3%	2
BLUE-MCD_1401	$1,204	-76.3%	2
MVP-MCD_1401	$1,204	-76.3%	2
BLUE-SP_1401	$1,204	-76.3%	2
MEDICAID_1432	$1,192	-76.5%	2
BLUE-SP_1432	$1,119	-78.0%	2
BLUE-CHP_1432	$1,119	-78.0%	2
BLUE-MCD_1432	$1,119	-78.0%	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.