Payer comparison · CPT 35216 · RAPID CITY, SD

35216 — Repair Blood Vessel Lesion

What each payer pays MONUMENT HEALTH RAPID CITY HOSPITAL (CCN 430077) 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.

$92,825 All-payer median here

$111,838 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for 35216 →

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

FEDMED INC [3081283]	$106,246	14.5%	1
TLC Advantage of Sioux Falls	$105,127	13.3%	1
PREFERRED ONE 41147 [3081160]	$104,958	13.1%	1
Cigna Healthcare	$104,958	13.1%	3
Midlands Choice	$104,958	13.1%	1
Meritain Health	$104,958	13.1%	2
Employee Benefit Services d/b/a Key Benefit Administrators	$104,958	13.1%	1
ALLIED BENEFIT SYSTEMS INC [3081320]	$104,958	13.1%	1
Aetna	$100,654	8.4%	3
Humana	$100,654	8.4%	1
Sanford Health	$100,654	8.4%	1
MultiPlan	$96,619	4.1%	1
GROUP AND PENSION ADMINISTRATORS INC [3081098]	$96,619	4.1%	1
EMPLOYEE BENEFIT MANAGEMENT 12X44 [3081079]	$95,062	2.4%	1
PacificSource	$95,062	2.4%	1
Medica	$92,825	0.0%	3
ROCKY MOUNTAIN ADMIN LLC 83028 [3081168]	$89,470	-3.6%	1
AVERA HEALTH PLANS 46045 [3081018]	$82,127	-11.5%	1
NATIONAL TELEPHONE COOPERATIVE ASSN 52103 [3081149]	$72,915	-21.4%	2
GEHA (Government Employees Health Association)	$72,915	-21.4%	3
UMR (UnitedHealthcare TPA)	$72,915	-21.4%	1
UnitedHealthcare	$72,915	-21.4%	3
Surest (UHC)	$72,915	-21.4%	1
CORESOURCE 38225 [3081146]	$72,695	-21.7%	1
HEALTH PARTNERS SX009 [3081102]	$66,913	-27.9%	1
RISK ADMIN SVS [3081167]	$36,214	-61.0%	2
MINNESOTA HEALTH CARE PROGRAMS 12K16 [3081295]	$33,887	-63.5%	1
Wellmark BCBS	$28,308	-69.5%	1
BLUE CROSS BLUE SHIELD FEDERAL SB889 [3081027]	$28,308	-69.5%	1

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.