Payer comparison · CPT 58542 · GRAND COULEE, WA

58542 — Lsh W/t/o Ut 250 G Or Less

What each payer pays COULEE MEDICAL CENTER (CCN 501308) 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.

$9,191 All-payer median here

$9,191 Cash / self-pay here

30 payer/plan-name variants

← This hospital National rates for 58542 →

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

Regence - Medicare Advantage	$10,212	11.1%	1
Provider Network of America (PNOA)	$10,008	8.9%	2
Community Health Plan	$9,446	2.8%	2
Community Health Plan of Washington	$9,446	2.8%	2
MultiPlan	$9,395	2.2%	2
GEHA (Government Employees Health Association)	$9,191	0.0%	2
Hma	$9,191	0.0%	1
HMA	$9,191	0.0%	1
Kaiser Permanente	$9,191	0.0%	2
MAIL HANDLERS BENEFIT PLAN	$9,191	0.0%	2
First Choice Health	$9,191	0.0%	2
Aetna	$9,191	0.0%	5
UnitedHealthcare	$9,191	0.0%	3
Uniform Medical Plan	$9,191	0.0%	2
Regence BCBS	$9,191	0.0%	4
Cigna Healthcare	$9,150	-0.4%	2
Premera BCBS	$8,987	-2.2%	3
TRICARE	$2,962	-67.8%	2
VA / CHAMPVA	$2,962	-67.8%	2
PGBA TRIWEST VA CCN	$2,962	-67.8%	2
WellCare Health Plans	$860	-90.6%	1
Confluence Health - Medicare Advantage	$819	-91.1%	1
Community Health Plan - Medicare Eligible	$819	-91.1%	1
Regence / Cambia Health	$819	-91.1%	1
Medicare Advantage	$819	-91.1%	1
INDIAN HEALTH SERVICES	$819	-91.1%	1
Medicare (Generic)	$819	-91.1%	1
Molina Healthcare	$813	-91.2%	2
Coordinated Care (Centene WA Medicaid)	$813	-91.2%	4
Amerigroup	$480	-94.8%	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.