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 38240 · ROYERSFORD, PA

38240 — Transplt Allo Hct/donor

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.

$20,439 All-payer median here
$10,353 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 38240 →
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
   
Keystone Hmo $43,433 112.5% 2
KEYSTONE HEALTH PLAN EAST IBC $43,433 112.5% 2
Empire Plan $43,433 112.5% 2
INDEPENDENCE ADMINISTRATORS $41,359 102.4% 2
AARP HEALTH CARE OPTIONS $38,295 87.4% 2
Shenandoah Life $38,295 87.4% 2
DEVON HEALTH $38,295 87.4% 2
UNIFIED HEALTH SERVICES $38,295 87.4% 2
Gpm Health And Life Insurance Mc Supplement $38,295 87.4% 2
Amerihealth New Jersey Hmo $37,521 83.6% 4
BCBS FEDERAL PROGRAM $37,521 83.6% 4
Blue Cross Blue Shield Association $37,521 83.6% 4
Capital BCBS $37,521 83.6% 4
Regence BCBS $37,521 83.6% 4
CareFirst BCBS $37,521 83.6% 4
AMERIHEALTH ADMINISTRATORS $37,521 83.6% 4
Horizon BCBS of NJ $37,521 83.6% 6
Anthem (Elevance Health) $37,521 83.6% 4
Independence BCBS $35,437 73.4% 34
Geisinger Health Plan $32,821 60.6% 4
Capital Blue Cross / CAIC $32,821 60.6% 4
Csi Medicare Supplement $32,821 60.6% 4
Erie Insurance Medicare Supplement $32,821 60.6% 4
Humana $32,821 60.6% 12
Medicare (Generic) $32,821 60.6% 8
Medicare Novitas Solutions $32,821 60.6% 4
Medicare Supplemental/ Plan F $32,821 60.6% 4
Medicare Supplement Plan F- Mutual Of Omaha $32,821 60.6% 4
Medicare Supplement Plan J $32,821 60.6% 4
Novitas Solutions (JL) $32,821 60.6% 4
Provider Partners Health Plan (PPHP) $32,821 60.6% 4
Spartan Plan Pa Medicare Advantage $32,821 60.6% 4
TRICARE $32,821 60.6% 4
Vibra Health Plan $32,821 60.6% 4
ConnectiCare $30,627 49.8% 2
Surest (UHC) $27,015 32.2% 1
Oxford Life Insurance Company $27,015 32.2% 1
UnitedHealthcare $27,015 32.2% 29
UMR (UnitedHealthcare TPA) $27,015 32.2% 3
ALL SAVERS INSURANCE COMPANY $27,015 32.2% 1
GOLDEN RULE INSURANCE $27,015 32.2% 1
Highmark BCBS $23,941 17.1% 6
ALLIED BENEFIT SYSTEMS $22,489 10.0% 2
TRUSTMARK $22,489 10.0% 1
Meritain Health $22,489 10.0% 1
Meritan Health Aetna $22,489 10.0% 3
PremierCare IPA $22,489 10.0% 1
Aetna $22,489 10.0% 56
HealthEZ $22,489 10.0% 1
GEHA (Government Employees Health Association) $22,489 10.0% 3
A-G Administrators LLC $22,489 10.0% 2
Continental Benefits $22,489 10.0% 1
LUCENT HEALTH $22,489 10.0% 1
MARPAI $22,489 10.0% 1
Mvp Cigna $18,977 -7.2% 3
Upmc Tower Health W/ Cigna $18,977 -7.2% 3
Cigna Healthcare $18,977 -7.2% 27
UPMC Health Plan $13,232 -35.3% 10
Central Pa Teamsters $13,118 -35.8% 2
CWI Benefits $10,929 -46.5% 2
Loomis $10,929 -46.5% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $10,929 -46.5% 2
Freedom Life Insurance Company $10,929 -46.5% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $10,929 -46.5% 2
Sana Benefits $10,929 -46.5% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $10,929 -46.5% 2
HealthPartners $7,896 -61.4% 10
Keystone First $2,850 -86.1% 8
Medicaid (Generic) $1,875 -90.8% 4
Straight Access $1,875 -90.8% 2
KEYSTONE FIRST VIP CHOICE $1,875 -90.8% 2
Centene $1,875 -90.8% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.8% 4

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.