Payer comparison · OTHER 0370 · MORGANTON, NC

0370 — Mod Sed Same Phys/Qhp 5 Years Of Age Or Older

What each payer pays BLUE RIDGE HEALTHCARE HOSPITALS, INC (CCN 340075) 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.

$8,344 All-payer median here

$21,772 Cash / self-pay here

23 payer/plan-name variants

← This hospital National rates for 0370 →

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

TRICARE	$37,995	355.4%	28
First Health Network	$36,287	334.9%	29
Cigna Healthcare	$24,058	188.3%	29
Nalc Health Benefit Plan	$24,058	188.3%	29
Aetna	$23,513	181.8%	60
MBS (Formerly MedCost Benefit Services)	$23,108	176.9%	87
UMR (UnitedHealthcare TPA)	$19,776	137.0%	29
Centene	$13,034	56.2%	29
Blue Cross Blue Shield Association	$10,732	28.6%	60
UnitedHealthcare	$8,966	7.5%	88
VAYA HEALTH	$4,913	-41.1%	28
Partners	$4,913	-41.1%	28
Trillium Behavioral Health	$4,818	-42.3%	28
AmeriHealth Caritas	$4,768	-42.9%	28
Carolina Complete Health (Centene NC Medicaid)	$4,768	-42.9%	28
Alliance	$4,768	-42.9%	28
Anthem (Elevance Health)	$4,768	-42.9%	28
WellCare Health Plans	$4,340	-48.0%	30
Liberty	$453	-94.6%	2
Humana	$453	-94.6%	2
Health Team Advantage	$453	-94.6%	2
First Medicare Direct	$453	-94.6%	2
Alignment Healthcare USA, LLC	$453	-94.6%	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.