Payer comparison · CDM 127164 · SAN ANTONIO, TX

127164 — Valve Plm Trnscth 22mm

What each payer pays METHODIST HOSPITAL (CCN 450388) 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.

$368,433 All-payer median here

$589,493 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for 127164 →

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

MedicalControl	$501,069	36.0%	1
Galaxy Health Network	$501,069	36.0%	1
Managed Healthcare	$501,069	36.0%	1
USA Managed Care	$471,594	28.0%	1
BLUE BELL BENEFITS TRUST	$471,594	28.0%	1
Direct Care America	$471,594	28.0%	1
United Payors United Providers	$471,594	28.0%	1
Admar Corporation	$471,594	28.0%	2
MultiPlan	$442,120	20.0%	1
PGBA TRIWEST VA CCN	$442,120	20.0%	2
PHCS (Private Healthcare Systems)	$418,540	13.6%	2
TML Intergovernmental EBP	$412,645	12.0%	1
National Healthcare Solutions	$383,170	4.0%	1
UnitedHealthcare	$370,791	0.6%	2
Emerging Therapy Solutions	$353,696	-4.0%	2
HAA Preferred Partners	$353,696	-4.0%	1
HealthSmart Preferred Care	$324,221	-12.0%	1
Independent Medical Systems	$324,221	-12.0%	1
Physician Cooperative of Texas	$324,221	-12.0%	1
Aetna	$301,820	-18.1%	1
National ChoiceCare	$294,746	-20.0%	1
Superior HealthPlan	$224,007	-39.2%	3
Blue Cross Blue Shield Association	$188,048	-49.0%	1
Cigna Healthcare	$182,743	-50.4%	1
Molina Healthcare	$147,373	-60.0%	1
Amerigroup	$82,529	-77.6%	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.