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 653 · KITTANNING, PA

653 — Major Bladder 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.

$112,584 All-payer median here
14 payer/plan-name variants
← This hospital National rates for 653 →
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 $237,739 111.2% 2
The Health Plan of West Virginia, Inc. $193,304 71.7% 2
Pa Workers' Compensation $175,746 56.1% 2
Pa Health And Wellness Commercial $159,192 41.4% 2
Geisinger Health Plan $147,816 31.3% 4
AmeriHealth Caritas $115,982 3.0% 2
UMWA Health and Retirement Funds $113,708 1.0% 2
Centene $112,584 0.0% 2
UnitedHealthcare $111,469 -1.0% 6
Highmark BCBS $102,597 -8.9% 18
Aetna $81,036 -28.0% 4
UPMC Health Plan $80,619 -28.4% 4
Cigna Healthcare $47,391 -57.9% 2
TRICARE $6,863 -93.9% 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.