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 54405 · ROYERSFORD, PA

54405 — Insert Multi-comp Penis Pros

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.

$20,781 All-payer median here
$15,392 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 54405 →
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
   
ALL SAVERS INSURANCE COMPANY $37,524 80.6% 2
Surest (UHC) $37,524 80.6% 2
Oxford Life Insurance Company $37,524 80.6% 2
GOLDEN RULE INSURANCE $37,524 80.6% 2
UMR (UnitedHealthcare TPA) $35,912 72.8% 6
UnitedHealthcare $32,195 54.9% 44
Meritain Health $27,132 30.6% 1
MARPAI $27,132 30.6% 1
LUCENT HEALTH $27,132 30.6% 1
TRUSTMARK $27,132 30.6% 1
A-G Administrators LLC $27,132 30.6% 2
Continental Benefits $27,132 30.6% 1
ALLIED BENEFIT SYSTEMS $27,132 30.6% 2
HealthEZ $27,132 30.6% 1
PremierCare IPA $27,132 30.6% 1
Highmark BCBS $25,220 21.4% 8
Meritan Health Aetna $23,453 12.9% 3
GEHA (Government Employees Health Association) $23,453 12.9% 3
Amerihealth New Jersey Hmo $22,632 8.9% 4
Horizon BCBS of NJ $22,632 8.9% 6
KEYSTONE HEALTH PLAN EAST IBC $22,632 8.9% 2
Empire Plan $22,632 8.9% 2
AMERIHEALTH ADMINISTRATORS $22,632 8.9% 4
Keystone Hmo $22,632 8.9% 2
Regence BCBS $22,632 8.9% 4
Anthem (Elevance Health) $22,632 8.9% 4
BCBS FEDERAL PROGRAM $22,632 8.9% 4
Blue Cross Blue Shield Association $22,632 8.9% 4
Capital BCBS $22,632 8.9% 4
CareFirst BCBS $22,632 8.9% 4
Aetna $21,548 3.7% 56
Independence BCBS $20,781 0.0% 34
INDEPENDENCE ADMINISTRATORS $20,031 -3.6% 2
ConnectiCare $18,569 -10.6% 2
UNIFIED HEALTH SERVICES $18,548 -10.7% 2
Gpm Health And Life Insurance Mc Supplement $18,548 -10.7% 2
DEVON HEALTH $18,548 -10.7% 2
Shenandoah Life $18,548 -10.7% 2
AARP HEALTH CARE OPTIONS $18,548 -10.7% 2
Geisinger Health Plan $17,777 -14.5% 4
Capital Blue Cross / CAIC $17,777 -14.5% 4
Cigna Healthcare $17,777 -14.5% 32
Csi Medicare Supplement $17,777 -14.5% 4
Erie Insurance Medicare Supplement $17,777 -14.5% 4
Medicare (Generic) $17,777 -14.5% 8
Medicare Novitas Solutions $17,777 -14.5% 4
Medicare Supplemental/ Plan F $17,777 -14.5% 4
Medicare Supplement Plan F- Mutual Of Omaha $17,777 -14.5% 4
Medicare Supplement Plan J $17,777 -14.5% 4
Novitas Solutions (JL) $17,777 -14.5% 4
Provider Partners Health Plan (PPHP) $17,777 -14.5% 4
Spartan Plan Pa Medicare Advantage $17,777 -14.5% 4
Vibra Health Plan $17,777 -14.5% 4
Humana $16,314 -21.5% 14
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $13,985 -32.7% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $13,985 -32.7% 2
CWI Benefits $13,985 -32.7% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $13,985 -32.7% 2
Sana Benefits $13,985 -32.7% 2
Freedom Life Insurance Company $13,985 -32.7% 2
Loomis $13,985 -32.7% 2
Central Pa Teamsters $12,596 -39.4% 2
Upmc Tower Health W/ Cigna $12,346 -40.6% 4
Mvp Cigna $12,346 -40.6% 4
HealthPartners $9,120 -56.1% 10
UPMC Health Plan $8,950 -56.9% 12
Keystone First $2,850 -86.3% 8
Medicaid (Generic) $1,875 -91.0% 4
Centene $1,875 -91.0% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -91.0% 4
KEYSTONE FIRST VIP CHOICE $1,875 -91.0% 2
Straight Access $1,875 -91.0% 2
TRICARE $738 -96.4% 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.