Payer comparison · OTHER 969 · LANCASTER, OH

969 — HIV With Extensive O.r. Procedures With Mcc

What each payer pays FAIRFIELD MEDICAL CENTER (CCN 360072) 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.

$151,813 All-payer median here

17 payer/plan-name variants

← This hospital National rates for 969 →

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

Oscar Health	$247,475	63.0%	2
Molina Healthcare	$201,169	32.5%	4
Buckeye Health Plan	$192,077	26.5%	4
CareSource	$178,139	17.3%	4
Bwc	$171,107	12.7%	2
VA / CHAMPVA	$155,035	2.1%	2
Medicare (Generic)	$151,871	0.0%	2
PARAMOUNT HEALTH CARE	$151,825	0.0%	2
Valor Health Plan	$151,800	-0.0%	2
Medical Mutual of Ohio	$148,824	-2.0%	2
Humana	$148,824	-2.0%	2
Anthem (Elevance Health)	$148,824	-2.0%	2
Aetna	$148,824	-2.0%	2
UnitedHealthcare	$120,598	-20.6%	4
The Health Plan of West Virginia, Inc.	$118,425	-22.0%	4
United Medical Resources - Umr	$89,371	-41.1%	2
TRICARE	$16,794	-88.9%	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.