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 63685 · VERNON, TX

63685 — Ins/rplc Spi Npg/rcvr Pocket

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.

$38,401 All-payer median here
$52,845 Cash / self-pay here
33 payer/plan-name variants
← This hospital National rates for 63685 →
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 $78,252 103.8% 2
Cigna Healthcare $76,185 98.4% 1
USA MCO PPO-ALL PLANS $74,864 95.0% 1
CORVEL $74,864 95.0% 1
HEALTHSMART BENEFIT SOLUTIONS $74,864 95.0% 1
PROVIDER SELECT INC, PPO-ALL PLANS $74,864 95.0% 1
Three Rivers Provider Network $74,864 95.0% 1
CAP STAR HEALTH NETWORK-ALL PLANS $70,460 83.5% 1
BLUE CROSS POS/PPO-ALL OTHER PLANS $70,460 83.5% 1
Prime Health Services $61,653 60.6% 1
PARTNERS DIRECT HLTH - ALL PLANS $57,249 49.1% 1
Healthcare Highways $57,249 49.1% 1
Aetna $56,234 46.4% 2
TRICARE $54,431 41.7% 2
COMM HEALTH CHOICE STAR $40,321 5.0% 1
COMM HLTH CHOICE HMO $40,321 5.0% 1
Superior HealthPlan $38,401 0.0% 1
Baylor Scott & White Health $38,401 0.0% 1
COMM HEALTH CHOICE CHIP $38,401 0.0% 1
COMM HEALTH CHOICE PERINATE - ALL OTHER PLANS $38,401 0.0% 1
UnitedHealthcare $38,401 0.0% 3
Amerigroup $38,401 0.0% 5
Molina Healthcare $38,401 0.0% 1
BCBS MCAID $38,401 0.0% 1
TEXAS CHILDREN'S HEALTH PLAN $38,401 0.0% 1
Centene $36,519 -4.9% 2
UNIVERSAL AMERICAN $34,029 -11.4% 2
BCBS MCR ADV HMO $33,199 -13.5% 1
MultiPlan $33,199 -13.5% 1
BCBS MCR ADV $33,199 -13.5% 1
PGBA TRIWEST VA CCN $32,203 -16.1% 1
BCBS BLUE ADV $32,076 -16.5% 1
BCBS of Florida (Florida Blue) $31,797 -17.2% 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.