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 471 · KITTANNING, PA

471 — Cervical Spinal Fusion 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.

$98,515 All-payer median here
14 payer/plan-name variants
← This hospital National rates for 471 →
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 $210,028 113.2% 2
The Health Plan of West Virginia, Inc. $169,142 71.7% 2
Pa Workers' Compensation $166,718 69.2% 2
Pa Health And Wellness Commercial $139,293 41.4% 2
Geisinger Health Plan $129,341 31.3% 4
AmeriHealth Caritas $101,485 3.0% 2
UMWA Health and Retirement Funds $99,495 1.0% 2
Centene $98,515 0.0% 2
UnitedHealthcare $97,540 -1.0% 6
Highmark BCBS $89,773 -8.9% 18
Aetna $72,281 -26.6% 4
UPMC Health Plan $71,706 -27.2% 4
Cigna Healthcare $44,038 -55.3% 2
TRICARE $10,887 -88.9% 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.