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 54416 · ROYERSFORD, PA

54416 — Remv/repl Penis Contain 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.

$19,240 All-payer median here
$15,392 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 54416 →
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) $34,934 81.6% 2
GOLDEN RULE INSURANCE $34,934 81.6% 2
Oxford Life Insurance Company $34,934 81.6% 2
ALL SAVERS INSURANCE COMPANY $34,934 81.6% 2
UMR (UnitedHealthcare TPA) $33,322 73.2% 6
UnitedHealthcare $27,015 40.4% 44
Meritain Health $22,489 16.9% 1
LUCENT HEALTH $22,489 16.9% 1
TRUSTMARK $22,489 16.9% 1
Continental Benefits $22,489 16.9% 1
A-G Administrators LLC $22,489 16.9% 2
ALLIED BENEFIT SYSTEMS $22,489 16.9% 2
GEHA (Government Employees Health Association) $22,489 16.9% 3
HealthEZ $22,489 16.9% 1
PremierCare IPA $22,489 16.9% 1
Meritan Health Aetna $22,489 16.9% 3
MARPAI $22,489 16.9% 1
Highmark BCBS $22,360 16.2% 8
Aetna $21,548 12.0% 56
Empire Plan $20,598 7.1% 2
Keystone Hmo $20,598 7.1% 2
KEYSTONE HEALTH PLAN EAST IBC $20,598 7.1% 2
AMERIHEALTH ADMINISTRATORS $19,766 2.7% 4
Regence BCBS $19,766 2.7% 4
Horizon BCBS of NJ $19,766 2.7% 6
Amerihealth New Jersey Hmo $19,766 2.7% 4
Anthem (Elevance Health) $19,766 2.7% 4
BCBS FEDERAL PROGRAM $19,766 2.7% 4
Blue Cross Blue Shield Association $19,766 2.7% 4
Capital BCBS $19,766 2.7% 4
CareFirst BCBS $19,766 2.7% 4
Independence BCBS $18,996 -1.3% 34
ConnectiCare $18,762 -2.5% 2
INDEPENDENCE ADMINISTRATORS $18,524 -3.7% 2
DEVON HEALTH $17,152 -10.9% 2
Gpm Health And Life Insurance Mc Supplement $17,152 -10.9% 2
AARP HEALTH CARE OPTIONS $17,152 -10.9% 2
Shenandoah Life $17,152 -10.9% 2
UNIFIED HEALTH SERVICES $17,152 -10.9% 2
Geisinger Health Plan $16,381 -14.9% 4
Capital Blue Cross / CAIC $16,381 -14.9% 4
Csi Medicare Supplement $16,381 -14.9% 4
Erie Insurance Medicare Supplement $16,381 -14.9% 4
Medicare (Generic) $16,381 -14.9% 8
Medicare Novitas Solutions $16,381 -14.9% 4
Medicare Supplemental/ Plan F $16,381 -14.9% 4
Medicare Supplement Plan F- Mutual Of Omaha $16,381 -14.9% 4
Medicare Supplement Plan J $16,381 -14.9% 4
Novitas Solutions (JL) $16,381 -14.9% 4
Provider Partners Health Plan (PPHP) $16,381 -14.9% 4
Spartan Plan Pa Medicare Advantage $16,381 -14.9% 4
Vibra Health Plan $16,381 -14.9% 4
Cigna Healthcare $16,250 -15.5% 32
Humana $13,523 -29.7% 14
Central Pa Teamsters $12,372 -35.7% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $11,875 -38.3% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $11,875 -38.3% 2
Freedom Life Insurance Company $11,875 -38.3% 2
Sana Benefits $11,875 -38.3% 2
CWI Benefits $11,875 -38.3% 2
Loomis $11,875 -38.3% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $11,875 -38.3% 2
Upmc Tower Health W/ Cigna $11,144 -42.1% 4
Mvp Cigna $11,144 -42.1% 4
HealthPartners $8,126 -57.8% 10
UPMC Health Plan $7,956 -58.6% 12
Keystone First $2,850 -85.2% 8
Centene $1,875 -90.3% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.3% 4
Straight Access $1,875 -90.3% 2
KEYSTONE FIRST VIP CHOICE $1,875 -90.3% 2
Medicaid (Generic) $1,875 -90.3% 4
TRICARE $738 -96.2% 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.