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 63685 · ROYERSFORD, PA

63685 — Ins/rplc Spi Npg/rcvr Pocket

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
$23,694 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 63685 →
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
   
GOLDEN RULE INSURANCE $45,408 122.2% 2
Oxford Life Insurance Company $45,408 122.2% 2
ALL SAVERS INSURANCE COMPANY $45,408 122.2% 2
Surest (UHC) $45,408 122.2% 2
UMR (UnitedHealthcare TPA) $44,010 115.3% 6
UnitedHealthcare $28,316 38.5% 44
Highmark BCBS $27,964 36.8% 8
KEYSTONE HEALTH PLAN EAST IBC $26,084 27.6% 2
Empire Plan $26,084 27.6% 2
Keystone Hmo $26,084 27.6% 2
Horizon BCBS of NJ $25,370 24.1% 6
AMERIHEALTH ADMINISTRATORS $25,370 24.1% 4
Regence BCBS $25,370 24.1% 4
Amerihealth New Jersey Hmo $25,370 24.1% 4
Anthem (Elevance Health) $25,370 24.1% 4
BCBS FEDERAL PROGRAM $25,370 24.1% 4
Blue Cross Blue Shield Association $25,370 24.1% 4
Capital BCBS $25,370 24.1% 4
CareFirst BCBS $25,370 24.1% 4
ConnectiCare $25,020 22.4% 2
Independence BCBS $24,185 18.3% 34
INDEPENDENCE ADMINISTRATORS $24,010 17.5% 2
Meritain Health $22,489 10.0% 1
LUCENT HEALTH $22,489 10.0% 1
Aetna $22,489 10.0% 56
TRUSTMARK $22,489 10.0% 1
Continental Benefits $22,489 10.0% 1
A-G Administrators LLC $22,489 10.0% 2
ALLIED BENEFIT SYSTEMS $22,489 10.0% 2
GEHA (Government Employees Health Association) $22,489 10.0% 3
HealthEZ $22,489 10.0% 1
PremierCare IPA $22,489 10.0% 1
Meritan Health Aetna $22,489 10.0% 3
MARPAI $22,489 10.0% 1
DEVON HEALTH $22,231 8.8% 2
UNIFIED HEALTH SERVICES $22,231 8.8% 2
Shenandoah Life $22,231 8.8% 2
Gpm Health And Life Insurance Mc Supplement $22,231 8.8% 2
AARP HEALTH CARE OPTIONS $22,231 8.8% 2
Geisinger Health Plan $21,570 5.5% 4
Capital Blue Cross / CAIC $21,570 5.5% 4
Csi Medicare Supplement $21,570 5.5% 4
Erie Insurance Medicare Supplement $21,570 5.5% 4
Medicare (Generic) $21,570 5.5% 8
Medicare Novitas Solutions $21,570 5.5% 4
Medicare Supplemental/ Plan F $21,570 5.5% 4
Medicare Supplement Plan F- Mutual Of Omaha $21,570 5.5% 4
Medicare Supplement Plan J $21,570 5.5% 4
Novitas Solutions (JL) $21,570 5.5% 4
Provider Partners Health Plan (PPHP) $21,570 5.5% 4
Spartan Plan Pa Medicare Advantage $21,570 5.5% 4
Vibra Health Plan $21,570 5.5% 4
Cigna Healthcare $16,250 -20.5% 32
Humana $13,523 -33.8% 14
Central Pa Teamsters $11,737 -42.6% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $11,372 -44.4% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $11,372 -44.4% 2
Freedom Life Insurance Company $11,372 -44.4% 2
Sana Benefits $11,372 -44.4% 2
CWI Benefits $11,372 -44.4% 2
Loomis $11,372 -44.4% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $11,372 -44.4% 2
Upmc Tower Health W/ Cigna $10,642 -47.9% 4
Mvp Cigna $10,642 -47.9% 4
HealthPartners $7,896 -61.4% 10
UPMC Health Plan $7,896 -61.4% 12
Keystone First $2,850 -86.1% 8
Centene $1,875 -90.8% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.8% 4
Straight Access $1,875 -90.8% 2
KEYSTONE FIRST VIP CHOICE $1,875 -90.8% 2
Medicaid (Generic) $1,875 -90.8% 4
TRICARE $592 -97.1% 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.