Price Transparencybeta 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 · CDM 27800001 · PHILADELPHIA, PA

27800001 — Imp Hancock Ii 23mm Ultra T505u-23

What each payer pays Jefferson Methodist Hospital (CCN 390205) 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.

$228,766 All-payer median here
23 payer/plan-name variants
← This hospital National rates for 27800001 →
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
   
Mental Health Consultants $324,750 42.0% 1
First Health Network $324,750 42.0% 1
Provider Network of America (PNOA) $324,750 42.0% 1
PHCS (Private Healthcare Systems) $324,750 42.0% 1
MultiPlan $324,750 42.0% 1
InterGroup Services $324,750 42.0% 1
DEVON HEALTH $324,750 42.0% 1
Independence BCBS $317,241 38.7% 1
Humana $294,305 28.6% 2
QualCare IPA $284,157 24.2% 4
Interlink $284,157 24.2% 1
Evernorth Health Services $284,157 24.2% 2
Aetna $235,850 3.1% 3
Horizon BCBS of NJ $234,267 2.4% 5
Cigna Healthcare $223,266 -2.4% 1
Innovage $202,969 -11.3% 1
UnitedHealthcare $195,662 -14.5% 6
Highmark BCBS $192,942 -15.7% 2
Optum Health Transplant $162,375 -29.0% 2
UPMC Health Plan $121,781 -46.8% 1
Keystone First $111,471 -51.3% 4
Jefferson Health Plan ACA QHP Exchange $81,188 -64.5% 1
St Agnes $77,128 -66.3% 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.