Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 42415 · WILSON, NC

42415 — Excise Parotid Gland/lesion

What each payer pays WILSON MEDICAL CENTER (CCN 340126) 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.

$34,396 All-payer median here
$25,209 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 42415 →
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
   
MBS (Formerly MedCost Benefit Services) $36,423 5.9% 2
Aetna $34,396 0.0% 4
Cigna Healthcare $34,396 0.0% 4
UnitedHealthcare $32,668 -5.0% 6
Centene $32,498 -5.5% 2
AmeriHealth Caritas $30,643 -10.9% 2
BCBS of North Carolina $27,719 -19.4% 4
Devoted Health $20,100 -41.6% 2
WellCare Health Plans $20,016 -41.8% 2
Anthem (Elevance Health) $20,016 -41.8% 2
Humana $20,016 -41.8% 2
Managed Medicare 100% $20,016 -41.8% 2
Pyramid $20,016 -41.8% 2
TRICARE $20,016 -41.8% 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.