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 · OTHER 485 · HONESDALE, PA

485 — Knee Procedures With Principal Diagnosis Of Infection With Mcc

What each payer pays WAYNE MEMORIAL HOSPITAL (CCN 390125) 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.

$28,251 All-payer median here
$70,874 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 485 →
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
   
UPMC Health Plan $56,220 99.0% 3
Cigna Healthcare $46,148 63.3% 1
Keystone First $43,799 55.0% 1
MultiPlan $43,799 55.0% 1
Wellpath $42,990 52.2% 2
Blue Cross Blue Shield Association $39,141 38.5% 2
Centene $28,933 2.4% 2
Humana $27,432 -2.9% 2
TRICARE $27,295 -3.4% 1
MVP Health Care $27,295 -3.4% 1
Aetna $24,203 -14.3% 1
UnitedHealthcare $20,976 -25.8% 3

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.