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 · OTHER 001 · PUNXSUTAWNEY, PA

001 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays PUNXSUTAWNEY AREA HOSPITAL (CCN 390199) 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.

$356,130 All-payer median here
11 payer/plan-name variants
← This hospital National rates for 001 →
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
   
TRICARE $785,734 120.6% 1
Pa Health And Wellness Commercial $498,657 40.0% 1
Geisinger Health Plan $462,985 30.0% 2
Pa Workers Compensation $427,022 19.9% 1
Centene $373,531 4.9% 1
Highmark $356,183 0.0% 1
UMWA Health and Retirement Funds $356,183 0.0% 1
AmeriHealth Caritas $349,095 -2.0% 1
Aetna $323,418 -9.2% 2
UPMC Health Plan $303,226 -14.9% 2
Highmark BCBS $245,619 -31.0% 7

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.