Payer comparison · CPT 43250 · LOGAN, OH

43250 — Egd Cautery Tumor Polyp

What each payer pays HOCKING VALLEY COMMUNITY HOSPITAL (CCN 361330) 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.

$3,486 All-payer median here

$4,357 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 43250 →

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

BeechStreet Corporation	$4,334	24.3%	2
COFINITY	$4,246	21.8%	2
Ohio Health Group	$4,246	21.8%	2
Galaxy Health Network	$4,246	21.8%	2
Healthsmart Hpo	$4,201	20.5%	2
Healthsmart Ppo	$4,024	15.5%	2
Myriad	$3,980	14.2%	2
Aetna	$3,834	10.0%	5
Cigna Healthcare	$3,803	9.1%	2
Ohio Health Choice	$3,759	7.8%	2
The Ohio State University Health Plan Ppo Connect	$3,759	7.8%	2
Quality Care Partners Ppo	$3,538	1.5%	2
Healthsmart Accel	$3,538	1.5%	2
The Ohio State University Health Plan Hphn	$3,538	1.5%	2
Anthem (Elevance Health)	$3,324	-4.6%	8
Humana	$3,096	-11.2%	6
Medical Mutual of Ohio	$2,558	-26.6%	5
The Health Plan of West Virginia, Inc.	$2,547	-26.9%	4
Buckeye Health Plan	$1,432	-58.9%	4
Gateway Health Plan	$1,279	-63.3%	2
CareSource	$1,273	-63.5%	2
UnitedHealthcare	$1,262	-63.8%	2
Paramount Health Care	$1,262	-63.8%	2
Molina Healthcare	$1,262	-63.8%	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.