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 27870 · ROYERSFORD, PA

27870 — Fusion Of Ankle Joint Open

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.

$22,951 All-payer median here
$18,569 Cash / self-pay here
83 payer/plan-name variants
← This hospital National rates for 27870 →
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
   
Surest (UHC) $41,877 82.5% 2
GOLDEN RULE INSURANCE $41,877 82.5% 2
UMR (UnitedHealthcare TPA) $41,877 82.5% 4
Oxford Life Insurance Company $41,877 82.5% 2
United Healthcare Choice Plus $41,877 82.5% 2
Allsavers $41,877 82.5% 2
UnitedHealthcare $34,508 50.4% 22
Highmark BCBS $26,885 17.1% 4
Blue Cross Blue Shield Association $24,009 4.6% 2
Capital BCBS $24,009 4.6% 2
Independence Administrators $24,009 4.6% 2
Carefirst Administrators $24,009 4.6% 2
Horizon BCBS of NJ $24,009 4.6% 4
Keystone Direct Pos $24,009 4.6% 2
Regence Blue Shield $24,009 4.6% 2
Keystone Hmo $24,009 4.6% 2
Amerihealth Administrators $24,009 4.6% 2
Empire Plan $24,009 4.6% 2
Amerihealth New Jersey Hmo $24,009 4.6% 2
Anthem (Elevance Health) $24,009 4.6% 2
Bcbs Federal $24,009 4.6% 2
Independence BCBS $23,081 0.6% 28
Aetna Medicare Ppo $22,248 -3.1% 2
Aetna $20,435 -11.0% 26
Medicare Supplement Plan J $19,738 -14.0% 2
Medicare Supplement Plan F- Mutual Of Omaha $19,738 -14.0% 2
Pcsh Aarp $19,738 -14.0% 2
Novitas Solutions (JL) $19,738 -14.0% 2
Medicare Supplemental/ Plan F $19,738 -14.0% 2
Devon Health Services $19,738 -14.0% 2
Erie Insurance Medicare Supplement $19,738 -14.0% 2
Medicare Novitas Solutions $19,738 -14.0% 2
Medicare (Generic) $19,738 -14.0% 4
Csi Medicare Supplement $19,738 -14.0% 2
Geisinger Medicare Advantage $19,738 -14.0% 2
Cigna Healthcare $19,738 -14.0% 16
Gpm Health And Life Insurance Mc Supplement $19,738 -14.0% 2
Vibra Health Plan $19,738 -14.0% 2
UNIFIED HEALTH SERVICES $19,738 -14.0% 2
Spartan Plan Pa Medicare Advantage $19,738 -14.0% 2
Shenandoah Life $19,738 -14.0% 2
Provider Partners Health Plan (PPHP) $19,738 -14.0% 2
Capital Blue Cross / CAIC $19,738 -14.0% 2
UPMC Health Plan $19,022 -17.1% 4
Humana $16,264 -29.1% 7
Central Pa Teamsters $15,233 -33.6% 2
CONNECTICARE (COMMERCIAL) $14,999 -34.6% 2
GEHA (Government Employees Health Association) $14,533 -36.7% 2
Continental Benefits $14,533 -36.7% 2
HealthEZ $14,533 -36.7% 2
Allied Benefits Systems $14,533 -36.7% 2
LUCENT HEALTH $14,533 -36.7% 2
MARPAI $14,533 -36.7% 2
Meritain Health $14,533 -36.7% 2
Meritan Health Aetna $14,533 -36.7% 2
Allied Benefit Systems $14,533 -36.7% 2
Premier Care Network $14,533 -36.7% 2
Ag Administrators Inc $14,533 -36.7% 2
Ag Administrators $14,533 -36.7% 2
Trustmark $14,533 -36.7% 2
Aetna Op $14,533 -36.7% 2
Aetna Ip $14,533 -36.7% 2
Aetna Coventry Advantra $14,533 -36.7% 2
Loomis $14,128 -38.4% 2
Cwi Benefits $14,128 -38.4% 2
Nalc Health $14,128 -38.4% 2
Upmc Tower Health W/ Cigna $14,128 -38.4% 2
Freedom Life Insurance Company $14,128 -38.4% 2
Mvp Cigna $14,128 -38.4% 2
Sana Benefits $14,128 -38.4% 2
Apwu $14,128 -38.4% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $14,128 -38.4% 2
HealthPartners $10,150 -55.8% 6
TRICARE $8,574 -62.6% 4
Keystone First $2,850 -87.6% 6
Upmc Health Plan - Medicaid $1,875 -91.8% 2
Centene $1,875 -91.8% 2
Straight Access $1,875 -91.8% 2
Medicaid (Generic) $1,875 -91.8% 2
Keystone First Vip Choice $1,875 -91.8% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -91.8% 2
Pcsh Humana Tricare East $883 -96.2% 1
Humana Tricare East $883 -96.2% 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.