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 · CPT 27279 · BENSALEM, PA

27279 — Arthrd Si Jt Perq/min Nvas

What each payer pays ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL (CCN 390322) 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.

$25,284 All-payer median here
$23,905 Cash / self-pay here
39 payer/plan-name variants
← This hospital National rates for 27279 →
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
   
UMR (UnitedHealthcare TPA) $42,691 68.8% 4
Harvard Pilgrim Uhc $42,691 68.8% 2
AmeriHealth Casualty Services $40,518 60.3% 1
Centene $36,399 44.0% 2
UnitedHealthcare $32,964 30.4% 35
Highmark BCBS $29,068 15.0% 2
Independence BCBS $29,068 15.0% 2
Blue Cross Blue Shield Association $29,068 15.0% 2
Blue Cross Out Of Area $29,068 15.0% 2
HIGHMARK BLUE SHIELD OF PENNSYLVANIA $29,068 15.0% 2
Anthem (Elevance Health) $29,068 15.0% 2
Amerihealth Bc $29,068 15.0% 2
AMERIHEALTH ADMINISTRATORS $29,068 15.0% 2
Allwell (Centene Medicare Advantage) $27,645 9.3% 2
UPMC Health Plan $27,279 7.9% 5
Highmark $27,279 7.9% 3
IBC Rate Schedule - HMO/PPO $25,744 1.8% 33
HealthPartners $25,635 1.4% 2
Humana $25,635 1.4% 2
VA / CHAMPVA $25,132 -0.6% 2
Cigna Healthcare $25,132 -0.6% 28
Commerical Other Medicare $25,132 -0.6% 2
Csi Medicare Supp $25,132 -0.6% 2
Csi Medicare Supplement $25,132 -0.6% 2
Geisinger Health Plan $25,132 -0.6% 2
Horizon BCBS of NJ $25,132 -0.6% 6
KEYSTONE HEALTH PLAN EAST IBC $25,132 -0.6% 2
Palmetto GBA $25,132 -0.6% 2
TRICARE $25,132 -0.6% 8
AARP HEALTH CARE OPTIONS $25,132 -0.6% 2
Nalc Cigna $24,782 -2.0% 2
Tufts Health Plan $24,782 -2.0% 2
Medicare (Generic) $17,233 -31.8% 46
US Family Health Plan $15,868 -37.2% 6
Meritain Aetna $15,582 -38.4% 2
First Health Network $15,582 -38.4% 2
GEHA (Government Employees Health Association) $15,582 -38.4% 2
FIRST HEALTH LIFE & HEALTH INSURANCE $15,582 -38.4% 4
Aetna $5,660 -77.6% 56

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.