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 24545 · ROYERSFORD, PA

24545 — Treat Humerus Fracture

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
$15,691 Cash / self-pay here
83 payer/plan-name variants
← This hospital National rates for 24545 →
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
   
GOLDEN RULE INSURANCE $41,614 121.9% 1
United Healthcare Choice Plus $41,614 121.9% 1
Allsavers $41,614 121.9% 1
Oxford Life Insurance Company $41,614 121.9% 1
UMR (UnitedHealthcare TPA) $41,614 121.9% 2
Surest (UHC) $41,614 121.9% 1
Highmark BCBS $23,577 25.7% 4
Keystone Direct Pos $19,968 6.5% 2
Regence Blue Shield $19,968 6.5% 2
Keystone Hmo $19,968 6.5% 2
Amerihealth Administrators $19,968 6.5% 2
Empire Plan $19,968 6.5% 2
Amerihealth New Jersey Hmo $19,968 6.5% 2
Anthem (Elevance Health) $19,968 6.5% 2
Independence Administrators $19,968 6.5% 2
Carefirst Administrators $19,968 6.5% 2
Horizon BCBS of NJ $19,968 6.5% 4
Bcbs Federal $19,968 6.5% 2
Blue Cross Blue Shield Association $19,968 6.5% 2
Capital BCBS $19,968 6.5% 2
UnitedHealthcare $19,614 4.6% 15
Independence BCBS $19,183 2.3% 28
Aetna Medicare Ppo $18,231 -2.8% 2
Aetna $17,054 -9.1% 26
Medicare Supplement Plan J $16,193 -13.7% 2
Medicare Novitas Solutions $16,193 -13.7% 2
Devon Health Services $16,193 -13.7% 2
Medicare (Generic) $16,193 -13.7% 4
Capital Blue Cross / CAIC $16,193 -13.7% 2
Medicare Supplemental/ Plan F $16,193 -13.7% 2
Medicare Supplement Plan F- Mutual Of Omaha $16,193 -13.7% 2
Erie Insurance Medicare Supplement $16,193 -13.7% 2
Csi Medicare Supplement $16,193 -13.7% 2
Geisinger Medicare Advantage $16,193 -13.7% 2
Gpm Health And Life Insurance Mc Supplement $16,193 -13.7% 2
Vibra Health Plan $16,193 -13.7% 2
UNIFIED HEALTH SERVICES $16,193 -13.7% 2
Spartan Plan Pa Medicare Advantage $16,193 -13.7% 2
Shenandoah Life $16,193 -13.7% 2
Provider Partners Health Plan (PPHP) $16,193 -13.7% 2
Pcsh Aarp $16,193 -13.7% 2
Novitas Solutions (JL) $16,193 -13.7% 2
UPMC Health Plan $16,034 -14.5% 4
Cigna Healthcare $15,875 -15.3% 16
CONNECTICARE (COMMERCIAL) $15,680 -16.4% 2
Continental Benefits $13,892 -25.9% 2
GEHA (Government Employees Health Association) $13,892 -25.9% 2
HealthEZ $13,892 -25.9% 2
Allied Benefits Systems $13,892 -25.9% 2
LUCENT HEALTH $13,892 -25.9% 2
MARPAI $13,892 -25.9% 2
Meritain Health $13,892 -25.9% 2
Meritan Health Aetna $13,892 -25.9% 2
Allied Benefit Systems $13,892 -25.9% 2
Premier Care Network $13,892 -25.9% 2
Ag Administrators Inc $13,892 -25.9% 2
Ag Administrators $13,892 -25.9% 2
Trustmark $13,892 -25.9% 2
Aetna Op $13,892 -25.9% 2
Aetna Ip $13,892 -25.9% 2
Aetna Coventry Advantra $13,892 -25.9% 2
Central Pa Teamsters $12,826 -31.6% 2
Humana $12,772 -31.9% 7
Nalc Health $11,506 -38.6% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $11,506 -38.6% 2
Upmc Tower Health W/ Cigna $11,506 -38.6% 2
Sana Benefits $11,506 -38.6% 2
Cwi Benefits $11,506 -38.6% 2
Loomis $11,506 -38.6% 2
Apwu $11,506 -38.6% 2
Freedom Life Insurance Company $11,506 -38.6% 2
Mvp Cigna $11,506 -38.6% 2
HealthPartners $8,404 -55.2% 6
TRICARE $6,828 -63.6% 4
Keystone First $2,850 -84.8% 6
Centene $1,875 -90.0% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.0% 2
Upmc Health Plan - Medicaid $1,875 -90.0% 2
Straight Access $1,875 -90.0% 2
Medicaid (Generic) $1,875 -90.0% 2
Keystone First Vip Choice $1,875 -90.0% 2
Pcsh Humana Tricare East $883 -95.3% 1
Humana Tricare East $883 -95.3% 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.