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 163 · KITTANNING, PA

163 — Major Chest Procedures With Mcc

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.

$120,121 All-payer median here
14 payer/plan-name variants
← This hospital National rates for 163 →
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 $246,855 105.5% 2
The Health Plan of West Virginia, Inc. $206,249 71.7% 2
Pa Workers' Compensation $197,526 64.4% 2
Pa Health And Wellness Commercial $169,852 41.4% 2
Geisinger Health Plan $157,713 31.3% 4
AmeriHealth Caritas $123,749 3.0% 2
UMWA Health and Retirement Funds $121,323 1.0% 2
Centene $120,121 0.0% 2
UnitedHealthcare $118,931 -1.0% 6
Highmark BCBS $109,468 -8.9% 18
UPMC Health Plan $81,636 -32.0% 4
Aetna $81,288 -32.3% 4
Cigna Healthcare $40,874 -66.0% 2
TRICARE $10,819 -91.0% 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.