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 · CDM 32033928 · PHILADELPHIA, PA

32033928 — Hc Remvl Repl Ttl Rplcmt Heart Sys

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.

$239,171 All-payer median here
23 payer/plan-name variants
← This hospital National rates for 32033928 →
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 $339,521 42.0% 1
First Health Network $339,521 42.0% 1
Provider Network of America (PNOA) $339,521 42.0% 1
Private Healthcare Services $339,521 42.0% 1
MultiPlan $339,521 42.0% 1
InterGroup Services $339,521 42.0% 1
Devon $339,521 42.0% 1
IBC $331,669 38.7% 1
Humana $307,691 28.6% 2
QualCare JCC $297,081 24.2% 4
Interlink $297,081 24.2% 1
Evernorth Health Services $297,081 24.2% 2
Aetna $246,577 3.1% 3
Horizon BCBS of NJ $244,922 2.4% 5
Cigna Healthcare $233,421 -2.4% 1
Innovage $212,200 -11.3% 1
UnitedHealthcare $204,561 -14.5% 6
Highmark BCBS $201,718 -15.7% 2
Optum Health Transplant $169,760 -29.0% 2
UPMC Medicare Advantage $127,320 -46.8% 1
Keystone First $116,541 -51.3% 4
Jefferson Health Plan ACA QHP Exchange $84,880 -64.5% 1
St Agnes $80,636 -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.