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 4 · SHARON, PA

4 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

What each payer pays SHARON REGIONAL MEDICAL CENTER (CCN 390211) 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.

$166,446 All-payer median here
22 payer/plan-name variants
← This hospital National rates for 4 →
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
   
Ellwood Health Direct $288,675 73.4% 1
Nthrive $208,057 25.0% 2
UPMC Health Plan $181,411 9.0% 2
Health Partners Plans (Philadelphia) $174,768 5.0% 1
Aetna $171,999 3.3% 2
Gateway Health Plan $171,439 3.0% 1
VA COMMUNITY CARE NETWORK $169,809 2.0% 1
Vibra Medicare $169,774 2.0% 1
Pa Health & Wellness Medicare $169,774 2.0% 1
Pphp Medicare $169,774 2.0% 1
VA / CHAMPVA $166,446 0.0% 1
Medicare (Generic) $166,446 0.0% 1
Medicare Other $166,446 0.0% 1
Devoted Health $166,446 0.0% 1
CareSource $166,446 0.0% 3
Self-Pay Other Facility $166,446 0.0% 1
Cigna Healthcare $162,626 -2.3% 2
Highmark BCBS $160,991 -3.3% 3
Humana $160,620 -3.5% 1
Anthem (Elevance Health) $147,867 -11.2% 4
Medical Mutual of Ohio $147,368 -11.5% 1
UnitedHealthcare $5,196 -96.9% 3

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.