Payer comparison · CPT 166 · RICHLANDS, VA

166 — Other Respiratory System O.r. Procedures With Mcc

What each payer pays CLINCH VALLEY MEDICAL CENTER (CCN 490060) 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.

$44,667 All-payer median here

$62,803 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 166 →

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

Sentara Health Plans	$84,880	90.0%	4
UnitedHealthcare	$84,880	90.0%	5
Four Most	$84,880	90.0%	2
Gateway Health Plan	$84,880	90.0%	2
Highlands	$84,880	90.0%	2
MBS (Formerly MedCost Benefit Services)	$84,880	90.0%	2
Cigna Healthcare	$84,880	90.0%	2
Aetna	$57,100	27.8%	4
Seven Corners	$46,912	5.0%	2
Advanced Medical Pricing Solutions (AMPS)	$41,860	-6.3%	2
Employee Benefit Consultants	$40,508	-9.3%	2
Anthem BCBS of Virginia	$37,968	-15.0%	8
TRICARE	$30,276	-32.2%	2
WellCare Health Plans	$29,320	-34.4%	2
Humana	$29,320	-34.4%	2
Managed Medicare 100%	$29,320	-34.4%	2
Pyramid	$29,320	-34.4%	2
US DEPARTMENT OF LABOR - BLACK LUNG	$29,320	-34.4%	2

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.