Payer comparison · CPT 63035 · ROYERSFORD, PA

63035 — Spinal Disk Surgery Add-on

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.

$28,176 All-payer median here

54 payer/plan-name variants

← This hospital National rates for 63035 →

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

Highmark BCBS	$46,541	65.2%	2
Carefirst Administrators	$38,817	37.8%	1
Keystone Hmo	$38,817	37.8%	1
Regence Blue Shield	$38,817	37.8%	1
Keystone Direct Pos	$38,817	37.8%	1
Independence BCBS	$38,817	37.8%	13
Independence Administrators	$38,817	37.8%	1
Horizon BCBS of NJ	$38,817	37.8%	2
Amerihealth Administrators	$38,817	37.8%	1
Empire Plan	$38,817	37.8%	1
Amerihealth New Jersey Hmo	$38,817	37.8%	1
Anthem (Elevance Health)	$38,817	37.8%	1
Blue Cross Blue Shield Association	$38,817	37.8%	1
Capital BCBS	$38,817	37.8%	1
Bcbs Federal	$38,817	37.8%	1
CONNECTICARE (COMMERCIAL)	$36,683	30.2%	1
Aetna	$28,176	0.0%	19
Aetna Medicare Ppo	$28,176	0.0%	1
Aetna Coventry Advantra	$25,996	-7.7%	2
Continental Benefits	$25,996	-7.7%	2
Trustmark	$25,996	-7.7%	2
GEHA (Government Employees Health Association)	$25,996	-7.7%	2
HealthEZ	$25,996	-7.7%	2
Allied Benefits Systems	$25,996	-7.7%	2
Allied Benefit Systems	$25,996	-7.7%	2
Ag Administrators Inc	$25,996	-7.7%	2
Ag Administrators	$25,996	-7.7%	2
Aetna Op	$25,996	-7.7%	2
Aetna Ip	$25,996	-7.7%	2
LUCENT HEALTH	$25,996	-7.7%	2
MARPAI	$25,996	-7.7%	2
Meritain Health	$25,996	-7.7%	2
Meritan Health Aetna	$25,996	-7.7%	2
Premier Care Network	$25,996	-7.7%	2
Central Pa Teamsters	$25,440	-9.7%	2
Cwi Benefits	$22,139	-21.4%	2
Upmc Tower Health W/ Cigna	$22,139	-21.4%	2
Mvp Cigna	$22,139	-21.4%	2
Loomis	$22,139	-21.4%	2
Sana Benefits	$22,139	-21.4%	2
Apwu	$22,139	-21.4%	2
Freedom Life Insurance Company	$22,139	-21.4%	2
Cigna Healthcare	$22,139	-21.4%	10
Healthgram Inc (formerly Primary PhysicianCare Inc)	$22,139	-21.4%	2
Nalc Health	$22,139	-21.4%	2
UPMC Health Plan	$21,592	-23.4%	2
HealthPartners	$5,119	-81.8%	4
Keystone First	$2,850	-89.9%	5
Keystone First Vip Choice	$1,875	-93.3%	2
AmeriHealth Caritas Pennsylvania Community HealthChoices	$1,875	-93.3%	2
Centene	$1,875	-93.3%	2
Medicaid (Generic)	$1,875	-93.3%	2
Straight Access	$1,875	-93.3%	2
Upmc Health Plan - Medicaid	$1,875	-93.3%	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.