Payer comparison · OTHER 1 · WILKES-BARRE, PA

1 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays WILKES-BARRE GENERAL HOSPITAL (CCN 390137) 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.

$296,841 All-payer median here

29 payer/plan-name variants

← This hospital National rates for 1 →

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

MultiPlan	$634,944	113.9%	1
UnitedHealthcare	$450,073	51.6%	3
Self Pay	$404,372	36.2%	1
Health America	$404,372	36.2%	1
Aetna	$404,372	36.2%	5
Independence BCBS	$404,372	36.2%	1
InterGroup Services	$404,372	36.2%	1
Plan Stewards Health	$399,867	34.7%	1
Node Meshoppen Stone	$391,603	31.9%	1
Centene	$371,521	25.2%	1
Phoenix Administrators	$359,881	21.2%	1
Oscar Health	$322,116	8.5%	1
Highmark BCBS	$320,519	8.0%	5
Work Comp	$296,841	0.0%	1
US Department of Labor (OWCP)	$284,189	-4.3%	1
Geisinger Health Plan	$283,989	-4.3%	2
UPMC Health Plan	$240,135	-19.1%	3
VA / CHAMPVA	$216,215	-27.2%	1
Node Hw Mcr Adv Pa	$212,583	-28.4%	1
Node Capital Bcbs Mcr Adv	$210,615	-29.0%	1
Centers for Medicare & Medicaid Services	$202,303	-31.8%	2
Devoted Health	$200,774	-32.4%	1
Node Vibra Mcr Adv	$200,774	-32.4%	1
Node Advantra Mcr Adv	$198,806	-33.0%	1
Node Hm Freedom Blue Mcr Adv	$181,041	-39.0%	1
Bcnepa Hm	$177,784	-40.1%	1
Community Bluee	$173,800	-41.5%	1
TRICARE	$32,572	-89.0%	1
Martin's Point Health Care, Inc.	$20,022	-93.3%	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.