Payer comparison · CPT 853 · RICHLANDS, VA

853 — Infectious And Parasitic Diseases With 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.

$58,020 All-payer median here

$61,660 Cash / self-pay here

18 payer/plan-name variants

← This hospital National rates for 853 →

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	$80,663	39.0%	4
Four Most	$80,663	39.0%	2
Gateway Health Plan	$80,663	39.0%	2
Highlands	$80,663	39.0%	2
MBS (Formerly MedCost Benefit Services)	$80,663	39.0%	2
Cigna Healthcare	$80,663	39.0%	2
UnitedHealthcare	$80,267	38.3%	5
Seven Corners	$60,936	5.0%	2
Aetna	$59,176	2.0%	4
Advanced Medical Pricing Solutions (AMPS)	$54,374	-6.3%	2
Employee Benefit Consultants	$52,618	-9.3%	2
Anthem BCBS of Virginia	$49,318	-15.0%	8
TRICARE	$41,331	-28.8%	2
WellCare Health Plans	$38,085	-34.4%	2
Humana	$38,085	-34.4%	2
Managed Medicare 100%	$38,085	-34.4%	2
Pyramid	$38,085	-34.4%	2
US DEPARTMENT OF LABOR - BLACK LUNG	$38,085	-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.