Payer comparison · OTHER 212 · WILKES-BARRE, PA

212 — Hip & Femur Procedures Except Major Joint Age 0-17

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.

$108,237 All-payer median here

31 payer/plan-name variants

← This hospital National rates for 212 →

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

Cigna Healthcare	$176,601	63.2%	1
UnitedHealthcare	$174,063	60.8%	3
Highmark BCBS	$173,074	59.9%	5
Plan Stewards Health	$154,854	43.1%	1
Node Meshoppen Stone	$151,653	40.1%	1
Centene	$143,876	32.9%	1
Phoenix Administrators	$139,369	28.8%	1
Oscar Health	$124,576	15.1%	1
MultiPlan	$111,651	3.2%	1
US Department of Labor (OWCP)	$111,001	2.6%	1
Geisinger Health Plan	$109,893	1.5%	2
InterGroup Services	$108,237	0.0%	1
Health America	$108,237	0.0%	1
Independence BCBS	$108,237	0.0%	1
Self Pay	$108,237	0.0%	1
Aetna	$108,237	0.0%	5
UPMC Health Plan	$92,870	-14.2%	3
VA / CHAMPVA	$82,905	-23.4%	2
Node Hw Mcr Adv Pa	$82,345	-23.9%	1
Node Capital Bcbs Mcr Adv	$81,583	-24.6%	1
Centers for Medicare & Medicaid Services	$78,362	-27.6%	2
Node Vibra Mcr Adv	$77,772	-28.1%	1
Devoted Health	$77,772	-28.1%	1
Humana	$77,772	-28.1%	1
Node Advantra Mcr Adv	$77,010	-28.9%	1
Node Hm Freedom Blue Mcr Adv	$72,066	-33.4%	1
Community Bluee	$69,184	-36.1%	1
Work Comp	$36,515	-66.3%	1
Bcnepa Hm	$31,262	-71.1%	1
Martin's Point Health Care, Inc.	$7,906	-92.7%	1
TRICARE	$7,059	-93.5%	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.