Payer comparison · CPT 004 · KITTANNING, PA

004 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

What each payer pays ACMH HOSPITAL (CCN 390163) 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.

$286,582 All-payer median here

14 payer/plan-name variants

← This hospital National rates for 004 →

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	$525,590	83.4%	2
The Health Plan of West Virginia, Inc.	$492,151	71.7%	2
Pa Workers' Compensation	$438,004	52.8%	2
Pa Health And Wellness Commercial	$405,300	41.4%	2
Geisinger Health Plan	$376,310	31.3%	4
AmeriHealth Caritas	$295,290	3.0%	2
UMWA Health and Retirement Funds	$289,500	1.0%	2
Centene	$286,582	0.0%	2
UnitedHealthcare	$283,745	-1.0%	6
Highmark BCBS	$261,212	-8.9%	18
Aetna	$209,315	-27.0%	4
UPMC Health Plan	$207,791	-27.5%	4
Cigna Healthcare	$126,325	-55.9%	2
TRICARE	$8,738	-97.0%	2

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.