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 466 · JOHNSTOWN, PA

466 — Revision Of Hip Or Knee Replacement 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.

$47,094 All-payer median here
$85,342 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 466 →
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 $91,244 93.8% 1
UnitedHealthcare $70,214 49.1% 3
Geisinger Health Plan $63,722 35.3% 2
Aetna $55,132 17.1% 2
Cigna Healthcare $53,026 12.6% 2
UPMC Health Plan $52,986 12.5% 2
Anthem BCBS of Pennsylvania $51,165 8.6% 2
TRICARE $49,197 4.5% 1
Gateway Health Plan $46,133 -2.0% 1
AmeriHealth Caritas $45,685 -3.0% 1
Senior Life $44,790 -4.9% 1
UNIVERSAL AMERICAN $44,790 -4.9% 1
Devoted Health $39,992 -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.