Payer comparison · CPT 466 · RICHLANDS, VA

466 — Revision Of Hip Or Knee Replacement 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.

$38,795 All-payer median here

$22,864 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 466 →

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

Seven Corners	$62,072	60.0%	2
Advanced Medical Pricing Solutions (AMPS)	$55,388	42.8%	2
Employee Benefit Consultants	$53,599	38.2%	2
Anthem BCBS of Virginia	$50,238	29.5%	8
TRICARE	$41,102	5.9%	2
UnitedHealthcare	$39,571	2.0%	3
WellCare Health Plans	$38,795	0.0%	2
Aetna	$38,795	0.0%	3
Humana	$38,795	0.0%	2
Managed Medicare 100%	$38,795	0.0%	2
Pyramid	$38,795	0.0%	2
US DEPARTMENT OF LABOR - BLACK LUNG	$38,795	0.0%	2
Sentara Health Plans	$35,182	-9.3%	2
Highlands	$35,182	-9.3%	1
Gateway Health Plan	$35,182	-9.3%	1
Four Most	$35,182	-9.3%	1
MBS (Formerly MedCost Benefit Services)	$35,182	-9.3%	1
Cigna Healthcare	$35,182	-9.3%	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.