Payer comparison · CPT 492 · RICHLANDS, VA

492 — Lower Extremity And Humerus Procedures Except Hip, Foot And Femur 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.

$33,809 All-payer median here

$48,284 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 492 →

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	$64,340	90.3%	2
Four Most	$64,340	90.3%	1
Gateway Health Plan	$64,340	90.3%	1
Highlands	$64,340	90.3%	1
Cigna Healthcare	$64,340	90.3%	1
MBS (Formerly MedCost Benefit Services)	$64,340	90.3%	1
UnitedHealthcare	$45,962	35.9%	4
Seven Corners	$43,268	28.0%	2
Advanced Medical Pricing Solutions (AMPS)	$38,609	14.2%	2
Employee Benefit Consultants	$37,361	10.5%	2
Anthem BCBS of Virginia	$35,018	3.6%	8
TRICARE	$30,257	-10.5%	2
WellCare Health Plans	$27,042	-20.0%	2
Aetna	$27,042	-20.0%	3
Humana	$27,042	-20.0%	2
Managed Medicare 100%	$27,042	-20.0%	2
Pyramid	$27,042	-20.0%	2
US DEPARTMENT OF LABOR - BLACK LUNG	$27,042	-20.0%	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.