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 63005 · ROYERSFORD, PA

63005 — Remove Spine Lamina 1/2 Lmbr

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.

$19,356 All-payer median here
$7,395 Cash / self-pay here
83 payer/plan-name variants
← This hospital National rates for 63005 →
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) $30,995 60.1% 2
Oxford Life Insurance Company $30,995 60.1% 2
Allsavers $30,995 60.1% 2
GOLDEN RULE INSURANCE $30,995 60.1% 2
United Healthcare Choice Plus $30,995 60.1% 2
UMR (UnitedHealthcare TPA) $30,995 60.1% 4
Highmark BCBS $25,403 31.2% 4
Allied Benefit Systems $20,549 6.2% 2
Allied Benefits Systems $20,549 6.2% 2
Meritain Health $20,549 6.2% 2
Continental Benefits $20,549 6.2% 2
HealthEZ $20,549 6.2% 2
Premier Care Network $20,549 6.2% 2
GEHA (Government Employees Health Association) $20,549 6.2% 2
LUCENT HEALTH $20,549 6.2% 2
Trustmark $20,549 6.2% 2
Meritan Health Aetna $20,549 6.2% 2
Aetna Coventry Advantra $20,549 6.2% 2
Aetna Ip $20,549 6.2% 2
MARPAI $20,549 6.2% 2
Aetna Op $20,549 6.2% 2
Ag Administrators $20,549 6.2% 2
Ag Administrators Inc $20,549 6.2% 2
UnitedHealthcare $19,793 2.3% 22
Anthem (Elevance Health) $19,671 1.6% 2
Horizon BCBS of NJ $19,671 1.6% 4
Carefirst Administrators $19,671 1.6% 2
Capital BCBS $19,671 1.6% 2
Independence Administrators $19,671 1.6% 2
Regence Blue Shield $19,671 1.6% 2
Keystone Direct Pos $19,671 1.6% 2
Amerihealth Administrators $19,671 1.6% 2
Keystone Hmo $19,671 1.6% 2
Blue Cross Blue Shield Association $19,671 1.6% 2
Bcbs Federal $19,671 1.6% 2
Empire Plan $19,671 1.6% 2
Amerihealth New Jersey Hmo $19,671 1.6% 2
Central Pa Teamsters $19,607 1.3% 2
Loomis $18,828 -2.7% 2
Cwi Benefits $18,828 -2.7% 2
Sana Benefits $18,828 -2.7% 2
Freedom Life Insurance Company $18,828 -2.7% 2
Apwu $18,828 -2.7% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $18,828 -2.7% 2
Nalc Health $18,828 -2.7% 2
Mvp Cigna $18,828 -2.7% 2
Upmc Tower Health W/ Cigna $18,828 -2.7% 2
CONNECTICARE (COMMERCIAL) $16,926 -12.6% 2
Aetna Medicare Ppo $16,736 -13.5% 2
Aetna $15,163 -21.7% 26
Independence BCBS $14,670 -24.2% 28
Medicare (Generic) $14,609 -24.5% 4
Medicare Novitas Solutions $14,609 -24.5% 2
Medicare Supplement Plan F- Mutual Of Omaha $14,609 -24.5% 2
Medicare Supplement Plan J $14,609 -24.5% 2
Medicare Supplemental/ Plan F $14,609 -24.5% 2
Vibra Health Plan $14,609 -24.5% 2
Gpm Health And Life Insurance Mc Supplement $14,609 -24.5% 2
Provider Partners Health Plan (PPHP) $14,609 -24.5% 2
Geisinger Medicare Advantage $14,609 -24.5% 2
Erie Insurance Medicare Supplement $14,609 -24.5% 2
Shenandoah Life $14,609 -24.5% 2
Spartan Plan Pa Medicare Advantage $14,609 -24.5% 2
Devon Health Services $14,609 -24.5% 2
Csi Medicare Supplement $14,609 -24.5% 2
Cigna Healthcare $14,609 -24.5% 16
UNIFIED HEALTH SERVICES $14,609 -24.5% 2
Capital Blue Cross / CAIC $14,609 -24.5% 2
UPMC Health Plan $14,609 -24.5% 4
Novitas Solutions (JL) $14,609 -24.5% 2
Pcsh Aarp $14,609 -24.5% 2
Humana $9,244 -52.2% 7
HealthPartners $8,315 -57.0% 6
TRICARE $6,035 -68.8% 4
Keystone First $2,850 -85.3% 6
Pcsh Humana Tricare East $2,826 -85.4% 1
Humana Tricare East $2,826 -85.4% 1
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.3% 2
Medicaid (Generic) $1,875 -90.3% 2
Keystone First Vip Choice $1,875 -90.3% 2
Upmc Health Plan - Medicaid $1,875 -90.3% 2
Straight Access $1,875 -90.3% 2
Centene $1,875 -90.3% 2

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.