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 · CPT 405 · JOHNSTOWN, PA

405 — Pancreas, Liver And Shunt Procedures With Mcc

What each payer pays CONEMAUGH MEMORIAL MEDICAL CENTER (CCN 390110) 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.

$49,912 All-payer median here
$65,487 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 405 →
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
   
Centene $97,228 94.8% 1
UnitedHealthcare $74,818 49.9% 3
Geisinger Health Plan $67,901 36.0% 2
Anthem BCBS of Pennsylvania $64,637 29.5% 2
Aetna $58,747 17.7% 2
Cigna Healthcare $56,503 13.2% 2
UPMC Health Plan $56,461 13.1% 2
TRICARE $50,083 0.3% 1
Gateway Health Plan $49,159 -1.5% 1
AmeriHealth Caritas $48,681 -2.5% 1
Senior Life $47,727 -4.4% 1
UNIVERSAL AMERICAN $47,727 -4.4% 1
Devoted Health $42,615 -14.6% 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.