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 969 · PUNXSUTAWNEY, PA

969 — HIV With Extensive O.r. Procedures 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.

$279,351 All-payer median here
14 payer/plan-name variants
← This hospital National rates for 969 →
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 Health And Wellness Commercial $395,073 41.4% 1
Geisinger Health Plan $366,814 31.3% 2
Pa Workers Compensation $356,133 27.5% 1
Centene $295,946 5.9% 1
Highmark $282,195 1.0% 1
UMWA Health and Retirement Funds $282,195 1.0% 1
AmeriHealth Caritas $276,586 -1.0% 1
Humana $276,586 -1.0% 1
UnitedHealthcare $276,586 -1.0% 3
TRICARE $265,262 -5.0% 1
UPMC Health Plan $173,540 -37.9% 2
Aetna $171,813 -38.5% 2
Highmark BCBS $81,213 -70.9% 7
Cigna Healthcare $46,756 -83.3% 1

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.