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 20696 · ROYERSFORD, PA

20696 — App Mltpln Uni Xtrnl Fix 1st

What each payer pays PHYSICIANS CARE SURGICAL HOSPITAL (CCN 390324) 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.

$18,753 All-payer median here
$12,286 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 20696 →
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
   
ALL SAVERS INSURANCE COMPANY $41,558 121.6% 2
Surest (UHC) $41,558 121.6% 2
Oxford Life Insurance Company $41,558 121.6% 2
GOLDEN RULE INSURANCE $41,558 121.6% 2
UMR (UnitedHealthcare TPA) $31,814 69.6% 6
UnitedHealthcare $27,015 44.1% 44
Keystone Hmo $24,068 28.3% 2
KEYSTONE HEALTH PLAN EAST IBC $24,068 28.3% 2
Empire Plan $24,068 28.3% 2
Continental Benefits $22,489 19.9% 1
Meritain Health $22,489 19.9% 1
LUCENT HEALTH $22,489 19.9% 1
MARPAI $22,489 19.9% 1
TRUSTMARK $22,489 19.9% 1
A-G Administrators LLC $22,489 19.9% 2
Meritan Health Aetna $22,489 19.9% 3
ALLIED BENEFIT SYSTEMS $22,489 19.9% 2
GEHA (Government Employees Health Association) $22,489 19.9% 3
HealthEZ $22,489 19.9% 1
PremierCare IPA $22,489 19.9% 1
INDEPENDENCE ADMINISTRATORS $21,993 17.3% 2
Highmark BCBS $21,569 15.0% 8
UNIFIED HEALTH SERVICES $20,364 8.6% 2
DEVON HEALTH $20,364 8.6% 2
Shenandoah Life $20,364 8.6% 2
AARP HEALTH CARE OPTIONS $20,364 8.6% 2
Gpm Health And Life Insurance Mc Supplement $20,364 8.6% 2
Aetna $19,908 6.2% 56
Amerihealth New Jersey Hmo $18,975 1.2% 4
Horizon BCBS of NJ $18,975 1.2% 6
Regence BCBS $18,975 1.2% 4
BCBS FEDERAL PROGRAM $18,975 1.2% 4
Anthem (Elevance Health) $18,975 1.2% 4
Blue Cross Blue Shield Association $18,975 1.2% 4
CareFirst BCBS $18,975 1.2% 4
Capital BCBS $18,975 1.2% 4
AMERIHEALTH ADMINISTRATORS $18,975 1.2% 4
Independence BCBS $18,753 0.0% 34
ConnectiCare $18,258 -2.6% 2
Geisinger Health Plan $15,649 -16.6% 4
Capital Blue Cross / CAIC $15,649 -16.6% 4
Cigna Healthcare $15,649 -16.6% 32
Csi Medicare Supplement $15,649 -16.6% 4
Erie Insurance Medicare Supplement $15,649 -16.6% 4
Humana $15,649 -16.6% 12
Medicare (Generic) $15,649 -16.6% 8
Medicare Novitas Solutions $15,649 -16.6% 4
Medicare Supplemental/ Plan F $15,649 -16.6% 4
Medicare Supplement Plan F- Mutual Of Omaha $15,649 -16.6% 4
Medicare Supplement Plan J $15,649 -16.6% 4
Novitas Solutions (JL) $15,649 -16.6% 4
Provider Partners Health Plan (PPHP) $15,649 -16.6% 4
Spartan Plan Pa Medicare Advantage $15,649 -16.6% 4
TRICARE $15,649 -16.6% 4
Vibra Health Plan $15,649 -16.6% 4
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $12,465 -33.5% 2
Loomis $12,465 -33.5% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $12,465 -33.5% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $12,465 -33.5% 2
Sana Benefits $12,465 -33.5% 2
Freedom Life Insurance Company $12,465 -33.5% 2
CWI Benefits $12,465 -33.5% 2
Central Pa Teamsters $12,372 -34.0% 2
Mvp Cigna $11,735 -37.4% 4
Upmc Tower Health W/ Cigna $11,735 -37.4% 4
HealthPartners $8,717 -53.5% 10
UPMC Health Plan $8,486 -54.7% 12
Keystone First $2,850 -84.8% 8
Straight Access $1,875 -90.0% 2
Medicaid (Generic) $1,875 -90.0% 4
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.0% 4
Centene $1,875 -90.0% 2
KEYSTONE FIRST VIP CHOICE $1,875 -90.0% 2

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.