Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CDM 156878 · QUAKERTOWN, PA

156878 — Valve Tricuspid Evoque 52mm Rplcmnt Sys

What each payer pays ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS (CCN 390035) 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.

$113,400 All-payer median here
$339,055 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for 156878 →
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
   
Capital BCBS $338,320 198.3% 1
Independence BCBS $201,309 77.5% 4
Jefferson Health Plan $188,768 66.5% 1
Highmark $188,768 66.5% 1
UnitedHealthcare $118,056 4.1% 1
Geisinger Health Plan $114,850 1.3% 2
UPMC Health Plan $111,827 -1.4% 2
Cigna Healthcare $111,806 -1.4% 1
Oscar Health $106,006 -6.5% 1
Aetna $44,731 -60.6% 3
AmeriHealth Caritas $43,015 -62.1% 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.