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 23412 · ROYERSFORD, PA

23412 — Repair Rotator Cuff Chronic

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.

$19,135 All-payer median here
$17,492 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 23412 →
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) $35,030 83.1% 6
UnitedHealthcare $27,709 44.8% 44
ALL SAVERS INSURANCE COMPANY $25,756 34.6% 2
Oxford Life Insurance Company $25,756 34.6% 2
GOLDEN RULE INSURANCE $25,756 34.6% 2
Surest (UHC) $25,756 34.6% 2
Highmark BCBS $23,584 23.3% 8
CareFirst BCBS $23,554 23.1% 4
Horizon BCBS of NJ $23,554 23.1% 6
AMERIHEALTH ADMINISTRATORS $23,554 23.1% 4
Amerihealth New Jersey Hmo $23,554 23.1% 4
Anthem (Elevance Health) $23,554 23.1% 4
BCBS FEDERAL PROGRAM $23,554 23.1% 4
Blue Cross Blue Shield Association $23,554 23.1% 4
Capital BCBS $23,554 23.1% 4
Regence BCBS $23,554 23.1% 4
Meritain Health $19,711 3.0% 2
ALLIED BENEFIT SYSTEMS $19,711 3.0% 4
A-G Administrators LLC $19,711 3.0% 4
Continental Benefits $19,711 3.0% 2
PremierCare IPA $19,711 3.0% 2
MARPAI $19,711 3.0% 2
HealthEZ $19,711 3.0% 2
LUCENT HEALTH $19,711 3.0% 2
TRUSTMARK $19,711 3.0% 2
Aetna $19,135 0.0% 66
Medicare Supplement Plan F- Mutual Of Omaha $18,259 -4.6% 4
Vibra Health Plan $18,259 -4.6% 4
Capital Blue Cross / CAIC $18,259 -4.6% 4
Cigna Healthcare $18,259 -4.6% 32
Csi Medicare Supplement $18,259 -4.6% 4
Erie Insurance Medicare Supplement $18,259 -4.6% 4
Geisinger Health Plan $18,259 -4.6% 4
Spartan Plan Pa Medicare Advantage $18,259 -4.6% 4
Provider Partners Health Plan (PPHP) $18,259 -4.6% 4
Medicare (Generic) $18,259 -4.6% 8
Medicare Novitas Solutions $18,259 -4.6% 4
Medicare Supplemental/ Plan F $18,259 -4.6% 4
Medicare Supplement Plan J $18,259 -4.6% 4
Novitas Solutions (JL) $18,259 -4.6% 4
Freedom Life Insurance Company $17,523 -8.4% 2
Loomis $17,523 -8.4% 2
CWI Benefits $17,523 -8.4% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $17,523 -8.4% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $17,523 -8.4% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $17,523 -8.4% 2
Sana Benefits $17,523 -8.4% 2
Humana $17,085 -10.7% 14
Meritan Health Aetna $16,852 -11.9% 4
GEHA (Government Employees Health Association) $16,852 -11.9% 4
Central Pa Teamsters $15,966 -16.6% 2
Keystone Hmo $15,706 -17.9% 2
Empire Plan $15,706 -17.9% 2
KEYSTONE HEALTH PLAN EAST IBC $15,706 -17.9% 2
Independence BCBS $15,529 -18.8% 34
Mvp Cigna $15,364 -19.7% 4
Upmc Tower Health W/ Cigna $15,364 -19.7% 4
ConnectiCare $15,213 -20.5% 2
INDEPENDENCE ADMINISTRATORS $14,422 -24.6% 2
UNIFIED HEALTH SERVICES $13,354 -30.2% 2
AARP HEALTH CARE OPTIONS $13,354 -30.2% 2
Shenandoah Life $13,354 -30.2% 2
Gpm Health And Life Insurance Mc Supplement $13,354 -30.2% 2
DEVON HEALTH $13,354 -30.2% 2
HealthPartners $6,475 -66.2% 10
UPMC Health Plan $6,184 -67.7% 12
Keystone First $2,850 -85.1% 8
Medicaid (Generic) $1,875 -90.2% 4
KEYSTONE FIRST VIP CHOICE $1,875 -90.2% 2
Straight Access $1,875 -90.2% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.2% 4
Centene $1,875 -90.2% 2
TRICARE $1,675 -91.2% 12

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.