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 yPEM56 · KITTANNING, PA

yPEM56 — Pembrolizumab Berahyaluronidas

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.

$103,951 All-payer median here
$34,650 Cash / self-pay here
9 payer/plan-name variants
← This hospital National rates for yPEM56 →
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
   
Pa Workers' Compensation $115,501 11.1% 2
TRICARE $115,501 11.1% 2
Highmark BCBS $115,501 11.1% 2
MultiPlan $103,951 0.0% 4
UPMC Health Plan $77,963 -25.0% 4
Cigna Healthcare $62,371 -40.0% 2
Carelon Behavioral Health $57,751 -44.4% 2
United Chip $23,100 -77.8% 2
United Medicaid $23,100 -77.8% 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.