Payer comparison · HCPCS 52342 · VERNON, TX

52342 — Cysto W/up Stricture Tx

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.

$16,433 All-payer median here

$22,615 Cash / self-pay here

33 payer/plan-name variants

← This hospital National rates for 52342 →

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	$32,603	98.4%	1
USA MCO PPO-ALL PLANS	$32,037	95.0%	1
CORVEL	$32,037	95.0%	1
HEALTHSMART BENEFIT SOLUTIONS	$32,037	95.0%	1
PROVIDER SELECT INC, PPO-ALL PLANS	$32,037	95.0%	1
Three Rivers Provider Network	$32,037	95.0%	1
CAP STAR HEALTH NETWORK-ALL PLANS	$30,153	83.5%	1
BLUE CROSS POS/PPO-ALL OTHER PLANS	$30,153	83.5%	1
Humana	$28,280	72.1%	2
Prime Health Services	$26,384	60.6%	1
Healthcare Highways	$24,499	49.1%	1
PARTNERS DIRECT HLTH - ALL PLANS	$24,499	49.1%	1
TRICARE	$23,293	41.7%	2
Aetna	$18,857	14.8%	2
COMM HLTH CHOICE HMO	$17,255	5.0%	1
COMM HEALTH CHOICE STAR	$17,255	5.0%	1
COMM HEALTH CHOICE CHIP	$16,433	0.0%	1
UnitedHealthcare	$16,433	0.0%	3
Amerigroup	$16,433	0.0%	5
Molina Healthcare	$16,433	0.0%	1
Baylor Scott & White Health	$16,433	0.0%	1
COMM HEALTH CHOICE PERINATE - ALL OTHER PLANS	$16,433	0.0%	1
BCBS MCAID	$16,433	0.0%	1
Superior HealthPlan	$16,433	0.0%	1
TEXAS CHILDREN'S HEALTH PLAN	$16,433	0.0%	1
BCBS BLUE ADV	$4,262	-74.1%	1
BCBS of Florida (Florida Blue)	$4,225	-74.3%	1
Centene	$4,172	-74.6%	2
UNIVERSAL AMERICAN	$3,887	-76.3%	2
BCBS MCR ADV	$3,792	-76.9%	1
MultiPlan	$3,792	-76.9%	1
BCBS MCR ADV HMO	$3,792	-76.9%	1
PGBA TRIWEST VA CCN	$3,679	-77.6%	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.