Price Transparencybeta 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 · CPT 37225 · SENECA, PA

37225 — Fem/popl Revas W/ather

What each payer pays UPMC NORTHWEST (CCN 390091) 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.

$93,032 All-payer median here
$120,934 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 37225 →
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
   
Humana $171,323 84.2% 1
PHCS (Private Healthcare Systems) $161,246 73.3% 1
Health Coalition Partners $145,121 56.0% 1
InterGroup Services $138,067 48.4% 2
Cigna Healthcare $126,981 36.5% 3
Aetna $122,647 31.8% 12
US Family Health Plan $93,032 0.0% 1
TRICARE $93,032 0.0% 1
Centene $64,673 -30.5% 2
Highmark BCBS $49,858 -46.4% 3
AmeriHealth Caritas $18,489 -80.1% 1
Highmark $18,487 -80.1% 1
UnitedHealthcare $18,404 -80.2% 2
UPMC Health Plan $15,648 -83.2% 4

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.