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 · CPT 22015 · ROYERSFORD, PA

22015 — I&d Abscess P-spine L/s/ls

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.

$36,890 All-payer median here
54 payer/plan-name variants
← This hospital National rates for 22015 →
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
   
Highmark BCBS $46,541 26.2% 2
Central Pa Teamsters $43,079 16.8% 1
UPMC Health Plan $39,152 6.1% 1
Horizon BCBS of NJ $38,817 5.2% 2
Keystone Hmo $38,817 5.2% 1
Empire Plan $38,817 5.2% 1
Amerihealth Administrators $38,817 5.2% 1
Keystone Direct Pos $38,817 5.2% 1
Amerihealth New Jersey Hmo $38,817 5.2% 1
Anthem (Elevance Health) $38,817 5.2% 1
Regence Blue Shield $38,817 5.2% 1
Bcbs Federal $38,817 5.2% 1
Blue Cross Blue Shield Association $38,817 5.2% 1
Carefirst Administrators $38,817 5.2% 1
Capital BCBS $38,817 5.2% 1
Independence BCBS $38,817 5.2% 13
Independence Administrators $38,817 5.2% 1
Apwu $36,890 0.0% 1
Upmc Tower Health W/ Cigna $36,890 0.0% 1
Sana Benefits $36,890 0.0% 1
Nalc Health $36,890 0.0% 1
Mvp Cigna $36,890 0.0% 1
Loomis $36,890 0.0% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $36,890 0.0% 1
Cigna Healthcare $36,890 0.0% 5
Cwi Benefits $36,890 0.0% 1
Freedom Life Insurance Company $36,890 0.0% 1
CONNECTICARE (COMMERCIAL) $36,683 -0.6% 1
Aetna Medicare Ppo $28,176 -23.6% 1
Aetna $28,176 -23.6% 19
Continental Benefits $24,556 -33.4% 2
HealthEZ $24,556 -33.4% 2
GEHA (Government Employees Health Association) $24,556 -33.4% 2
Meritan Health Aetna $24,556 -33.4% 2
Ag Administrators Inc $24,556 -33.4% 2
Ag Administrators $24,556 -33.4% 2
Premier Care Network $24,556 -33.4% 2
Aetna Op $24,556 -33.4% 2
Trustmark $24,556 -33.4% 2
Aetna Ip $24,556 -33.4% 2
Aetna Coventry Advantra $24,556 -33.4% 2
Allied Benefits Systems $24,556 -33.4% 2
Allied Benefit Systems $24,556 -33.4% 2
LUCENT HEALTH $24,556 -33.4% 2
MARPAI $24,556 -33.4% 2
Meritain Health $24,556 -33.4% 2
HealthPartners $19,870 -46.1% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $2,850 -92.3% 1
Keystone First $2,850 -92.3% 3
Keystone First Vip Choice $2,850 -92.3% 1
Medicaid (Generic) $2,850 -92.3% 1
Straight Access $2,850 -92.3% 1
Centene $2,850 -92.3% 1
Upmc Health Plan - Medicaid $2,850 -92.3% 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.