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 27870 · VERNON, TX

27870 — Fusion Of Ankle Joint Open

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.

$18,352 All-payer median here
$25,255 Cash / self-pay here
33 payer/plan-name variants
← This hospital National rates for 27870 →
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
   
Cigna Healthcare $36,409 98.4% 1
Humana $36,371 98.2% 2
USA MCO PPO-ALL PLANS $35,778 95.0% 1
CORVEL $35,778 95.0% 1
HEALTHSMART BENEFIT SOLUTIONS $35,778 95.0% 1
PROVIDER SELECT INC, PPO-ALL PLANS $35,778 95.0% 1
Three Rivers Provider Network $35,778 95.0% 1
BLUE CROSS POS/PPO-ALL OTHER PLANS $33,673 83.5% 1
CAP STAR HEALTH NETWORK-ALL PLANS $33,673 83.5% 1
Prime Health Services $29,464 60.6% 1
Healthcare Highways $27,360 49.1% 1
PARTNERS DIRECT HLTH - ALL PLANS $27,360 49.1% 1
TRICARE $26,013 41.7% 2
Aetna $25,848 40.8% 2
COMM HEALTH CHOICE STAR $19,270 5.0% 1
COMM HLTH CHOICE HMO $19,270 5.0% 1
Superior HealthPlan $18,352 0.0% 1
Baylor Scott & White Health $18,352 0.0% 1
COMM HEALTH CHOICE CHIP $18,352 0.0% 1
COMM HEALTH CHOICE PERINATE - ALL OTHER PLANS $18,352 0.0% 1
UnitedHealthcare $18,352 0.0% 3
Amerigroup $18,352 0.0% 5
Molina Healthcare $18,352 0.0% 1
BCBS MCAID $18,352 0.0% 1
TEXAS CHILDREN'S HEALTH PLAN $18,352 0.0% 1
Centene $15,194 -17.2% 2
UNIVERSAL AMERICAN $14,158 -22.9% 2
BCBS MCR ADV HMO $13,813 -24.7% 1
MultiPlan $13,813 -24.7% 1
BCBS MCR ADV $13,813 -24.7% 1
PGBA TRIWEST VA CCN $13,399 -27.0% 1
BCBS BLUE ADV $11,641 -36.6% 1
BCBS of Florida (Florida Blue) $11,540 -37.1% 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.