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 63048 · BENSALEM, PA

63048 — Lam Facetec &foramot Ea Addl

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.

$27,279 All-payer median here
$28,370 Cash / self-pay here
36 payer/plan-name variants
← This hospital National rates for 63048 →
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
   
Harvard Pilgrim Uhc $51,640 89.3% 1
UMR (UnitedHealthcare TPA) $51,640 89.3% 2
UnitedHealthcare $51,640 89.3% 9
Highmark BCBS $39,525 44.9% 1
HIGHMARK BLUE SHIELD OF PENNSYLVANIA $39,525 44.9% 1
Blue Cross Out Of Area $39,525 44.9% 1
Independence BCBS $39,525 44.9% 1
Anthem (Elevance Health) $39,525 44.9% 1
Blue Cross Blue Shield Association $39,525 44.9% 1
AMERIHEALTH ADMINISTRATORS $39,525 44.9% 1
Amerihealth Bc $39,525 44.9% 1
Centene $39,469 44.7% 1
Allwell (Centene Medicare Advantage) $30,007 10.0% 1
HealthPartners $27,825 2.0% 1
Humana $27,825 2.0% 1
VA / CHAMPVA $27,279 0.0% 1
Cigna Healthcare $27,279 0.0% 23
Commerical Other Medicare $27,279 0.0% 1
Csi Medicare Supp $27,279 0.0% 1
Csi Medicare Supplement $27,279 0.0% 1
Geisinger Health Plan $27,279 0.0% 1
Highmark $27,279 0.0% 1
Horizon BCBS of NJ $27,279 0.0% 4
KEYSTONE HEALTH PLAN EAST IBC $27,279 0.0% 1
Medicare (Generic) $27,279 0.0% 1
Palmetto GBA $27,279 0.0% 1
TRICARE $27,279 0.0% 4
UPMC Health Plan $27,279 0.0% 3
AARP HEALTH CARE OPTIONS $27,279 0.0% 1
Nalc Cigna $25,133 -7.9% 2
Tufts Health Plan $25,133 -7.9% 2
GEHA (Government Employees Health Association) $17,164 -37.1% 2
First Health Network $17,164 -37.1% 2
FIRST HEALTH LIFE & HEALTH INSURANCE $17,164 -37.1% 4
Meritain Aetna $17,164 -37.1% 2
Aetna $228 -99.2% 47

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.