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 461 · JOHNSTOWN, PA

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity 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.

$55,378 All-payer median here
$40,706 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 461 →
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 $107,295 93.8% 1
Anthem BCBS of Pennsylvania $85,510 54.4% 2
UnitedHealthcare $81,091 46.4% 3
Geisinger Health Plan $74,932 35.3% 2
TRICARE $71,064 28.3% 1
Aetna $64,830 17.1% 2
Cigna Healthcare $62,354 12.6% 2
UPMC Health Plan $62,307 12.5% 2
Gateway Health Plan $54,249 -2.0% 1
AmeriHealth Caritas $53,722 -3.0% 1
Senior Life $52,669 -4.9% 1
UNIVERSAL AMERICAN $52,669 -4.9% 1
Devoted Health $47,027 -15.1% 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.