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 · HCPCS 22612 · VERNON, TX

22612 — Arthrd Pst Tq 1ntrspc Lumbar

What each payer pays WILBARGER GENERAL HOSPITAL (CCN 450584) 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.

$18,864 All-payer median here
$25,147 Cash / self-pay here
33 payer/plan-name variants
← This hospital National rates for 22612 →
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
   
Humana $38,770 105.5% 2
Cigna Healthcare $36,253 92.2% 1
USA MCO PPO-ALL PLANS $35,624 88.8% 1
CORVEL $35,624 88.8% 1
HEALTHSMART BENEFIT SOLUTIONS $35,624 88.8% 1
PROVIDER SELECT INC, PPO-ALL PLANS $35,624 88.8% 1
Three Rivers Provider Network $35,624 88.8% 1
BLUE CROSS POS/PPO-ALL OTHER PLANS $33,529 77.7% 1
CAP STAR HEALTH NETWORK-ALL PLANS $33,529 77.7% 1
Prime Health Services $29,338 55.5% 1
Aetna $28,292 50.0% 2
PARTNERS DIRECT HLTH - ALL PLANS $27,242 44.4% 1
Healthcare Highways $27,242 44.4% 1
TRICARE $25,901 37.3% 2
Centene $20,751 10.0% 2
UNIVERSAL AMERICAN $19,336 2.5% 2
COMM HLTH CHOICE HMO $19,187 1.7% 1
COMM HEALTH CHOICE STAR $19,187 1.7% 1
UnitedHealthcare $18,864 0.0% 3
BCBS MCR ADV HMO $18,864 0.0% 1
MultiPlan $18,864 0.0% 1
BCBS MCR ADV $18,864 0.0% 1
PGBA TRIWEST VA CCN $18,298 -3.0% 1
Molina Healthcare $18,273 -3.1% 1
Baylor Scott & White Health $18,273 -3.1% 1
COMM HEALTH CHOICE CHIP $18,273 -3.1% 1
COMM HEALTH CHOICE PERINATE - ALL OTHER PLANS $18,273 -3.1% 1
Amerigroup $18,273 -3.1% 5
Superior HealthPlan $18,273 -3.1% 1
TEXAS CHILDREN'S HEALTH PLAN $18,273 -3.1% 1
BCBS MCAID $18,273 -3.1% 1
BCBS BLUE ADV $11,641 -38.3% 1
BCBS of Florida (Florida Blue) $11,540 -38.8% 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.