Payer comparison · OTHER 0434 · LITTLE FALLS, NY

0434 — Hc Ot Evaluation Low Complexity

What each payer pays LITTLE FALLS HOSPITAL (CCN 331311) 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.

$109 All-payer median here

$83 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 0434 →

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

POMCO Group	$276	153.1%	4
PHCS (Private Healthcare Systems)	$276	153.1%	4
Neic	$276	153.1%	4
MultiPlan	$276	153.1%	4
Cigna Healthcare	$261	139.0%	4
UnitedHealthcare	$180	64.9%	8
MVP Health Care	$162	49.0%	8
EmblemHealth	$161	47.5%	8
Blue Cross Blue Shield Association	$114	4.4%	32
Humana	$93	-15.0%	4
Aetna	$92	-15.7%	4
Centene	$92	-15.7%	4
Todays Options	$90	-17.3%	4
WellCare Health Plans	$90	-17.3%	4
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$88	-18.9%	4
Martin's Point Health Care, Inc.	$86	-21.3%	4
TRICARE	$86	-21.3%	4
VA / CHAMPVA	$86	-21.3%	4

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.