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 22855 · ROYERSFORD, PA

22855 — Removal Anterior Instrmj

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.

$23,010 All-payer median here
$12,828 Cash / self-pay here
81 payer/plan-name variants
← This hospital National rates for 22855 →
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
   
United Healthcare Choice Plus $34,022 47.9% 1
Allsavers $34,022 47.9% 1
Oxford Life Insurance Company $34,022 47.9% 1
UnitedHealthcare $34,022 47.9% 11
UMR (UnitedHealthcare TPA) $34,022 47.9% 2
GOLDEN RULE INSURANCE $34,022 47.9% 1
Surest (UHC) $34,022 47.9% 1
Highmark BCBS $31,307 36.1% 2
Central Pa Teamsters $25,318 10.0% 1
Bcbs Federal $25,073 9.0% 1
Blue Cross Blue Shield Association $25,073 9.0% 1
Capital BCBS $25,073 9.0% 1
Carefirst Administrators $25,073 9.0% 1
Regence Blue Shield $25,073 9.0% 1
Independence Administrators $25,073 9.0% 1
Independence BCBS $25,073 9.0% 14
Keystone Direct Pos $25,073 9.0% 1
Empire Plan $25,073 9.0% 1
Keystone Hmo $25,073 9.0% 1
Amerihealth Administrators $25,073 9.0% 1
Horizon BCBS of NJ $25,073 9.0% 2
Amerihealth New Jersey Hmo $25,073 9.0% 1
Anthem (Elevance Health) $25,073 9.0% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $24,815 7.8% 1
Loomis $24,815 7.8% 1
Sana Benefits $24,815 7.8% 1
Apwu $24,815 7.8% 1
Cigna Healthcare $24,815 7.8% 8
Upmc Tower Health W/ Cigna $24,815 7.8% 1
Cwi Benefits $24,815 7.8% 1
Freedom Life Insurance Company $24,815 7.8% 1
Nalc Health $24,815 7.8% 1
Mvp Cigna $24,815 7.8% 1
CONNECTICARE (COMMERCIAL) $20,483 -11.0% 1
UPMC Health Plan $19,523 -15.2% 2
Aetna Medicare Ppo $18,953 -17.6% 1
Aetna $18,953 -17.6% 20
Vibra Health Plan $16,035 -30.3% 1
Capital Blue Cross / CAIC $16,035 -30.3% 1
Csi Medicare Supplement $16,035 -30.3% 1
Devon Health Services $16,035 -30.3% 1
Erie Insurance Medicare Supplement $16,035 -30.3% 1
Geisinger Medicare Advantage $16,035 -30.3% 1
Gpm Health And Life Insurance Mc Supplement $16,035 -30.3% 1
HealthPartners $16,035 -30.3% 3
Humana $16,035 -30.3% 3
Medicare (Generic) $16,035 -30.3% 2
Medicare Novitas Solutions $16,035 -30.3% 1
Medicare Supplement Plan F- Mutual Of Omaha $16,035 -30.3% 1
Medicare Supplement Plan J $16,035 -30.3% 1
Medicare Supplemental/ Plan F $16,035 -30.3% 1
Novitas Solutions (JL) $16,035 -30.3% 1
Pcsh Aarp $16,035 -30.3% 1
Provider Partners Health Plan (PPHP) $16,035 -30.3% 1
Shenandoah Life $16,035 -30.3% 1
Spartan Plan Pa Medicare Advantage $16,035 -30.3% 1
TRICARE $16,035 -30.3% 1
UNIFIED HEALTH SERVICES $16,035 -30.3% 1
HealthEZ $15,546 -32.4% 2
GEHA (Government Employees Health Association) $15,546 -32.4% 2
Aetna Coventry Advantra $15,546 -32.4% 2
Continental Benefits $15,546 -32.4% 2
Ag Administrators Inc $15,546 -32.4% 2
Premier Care Network $15,546 -32.4% 2
Ag Administrators $15,546 -32.4% 2
MARPAI $15,546 -32.4% 2
Allied Benefits Systems $15,546 -32.4% 2
Aetna Ip $15,546 -32.4% 2
Trustmark $15,546 -32.4% 2
Allied Benefit Systems $15,546 -32.4% 2
Meritain Health $15,546 -32.4% 2
Meritan Health Aetna $15,546 -32.4% 2
Aetna Op $15,546 -32.4% 2
LUCENT HEALTH $15,546 -32.4% 2
Centene $2,850 -87.6% 1
AmeriHealth Caritas Pennsylvania Community HealthChoices $2,850 -87.6% 1
Straight Access $2,850 -87.6% 1
Upmc Health Plan - Medicaid $2,850 -87.6% 1
Keystone First Vip Choice $2,850 -87.6% 1
Keystone First $2,850 -87.6% 3
Medicaid (Generic) $2,850 -87.6% 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.