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 64590 · ROYERSFORD, PA

64590 — Ins/rpl Prph Sac/gstr Npg/r

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.

$19,452 All-payer median here
$16,692 Cash / self-pay here
73 payer/plan-name variants
← This hospital National rates for 64590 →
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
   
UMR (UnitedHealthcare TPA) $33,563 72.5% 6
Oxford Life Insurance Company $33,563 72.5% 2
ALL SAVERS INSURANCE COMPANY $33,563 72.5% 2
Surest (UHC) $33,563 72.5% 2
GOLDEN RULE INSURANCE $33,563 72.5% 2
UnitedHealthcare $27,015 38.9% 44
Highmark BCBS $23,238 19.5% 8
Meritain Health $22,489 15.6% 1
TRUSTMARK $22,489 15.6% 1
Continental Benefits $22,489 15.6% 1
PremierCare IPA $22,489 15.6% 1
ALLIED BENEFIT SYSTEMS $22,489 15.6% 2
MARPAI $22,489 15.6% 1
GEHA (Government Employees Health Association) $22,489 15.6% 3
HealthEZ $22,489 15.6% 1
Meritan Health Aetna $22,489 15.6% 3
LUCENT HEALTH $22,489 15.6% 1
A-G Administrators LLC $22,489 15.6% 2
Aetna $21,786 12.0% 56
ConnectiCare $20,075 3.2% 2
Regence BCBS $19,880 2.2% 4
Keystone Hmo $19,880 2.2% 2
KEYSTONE HEALTH PLAN EAST IBC $19,880 2.2% 2
Amerihealth New Jersey Hmo $19,880 2.2% 4
Anthem (Elevance Health) $19,880 2.2% 4
BCBS FEDERAL PROGRAM $19,880 2.2% 4
Blue Cross Blue Shield Association $19,880 2.2% 4
Capital BCBS $19,880 2.2% 4
CareFirst BCBS $19,880 2.2% 4
Horizon BCBS of NJ $19,880 2.2% 6
Empire Plan $19,880 2.2% 2
AMERIHEALTH ADMINISTRATORS $19,880 2.2% 4
Independence BCBS $19,102 -1.8% 34
INDEPENDENCE ADMINISTRATORS $17,806 -8.5% 2
Geisinger Health Plan $16,487 -15.2% 4
Capital Blue Cross / CAIC $16,487 -15.2% 4
Csi Medicare Supplement $16,487 -15.2% 4
DEVON HEALTH $16,487 -15.2% 2
Erie Insurance Medicare Supplement $16,487 -15.2% 4
AARP HEALTH CARE OPTIONS $16,487 -15.2% 2
Gpm Health And Life Insurance Mc Supplement $16,487 -15.2% 2
Medicare (Generic) $16,487 -15.2% 8
Medicare Novitas Solutions $16,487 -15.2% 4
Medicare Supplemental/ Plan F $16,487 -15.2% 4
Medicare Supplement Plan F- Mutual Of Omaha $16,487 -15.2% 4
Medicare Supplement Plan J $16,487 -15.2% 4
Novitas Solutions (JL) $16,487 -15.2% 4
Provider Partners Health Plan (PPHP) $16,487 -15.2% 4
Shenandoah Life $16,487 -15.2% 2
Spartan Plan Pa Medicare Advantage $16,487 -15.2% 4
UNIFIED HEALTH SERVICES $16,487 -15.2% 2
Vibra Health Plan $16,487 -15.2% 4
Cigna Healthcare $16,250 -16.5% 32
Humana $13,523 -30.5% 14
Central Pa Teamsters $11,737 -39.7% 2
Freedom Life Insurance Company $11,372 -41.5% 2
CWI Benefits $11,372 -41.5% 2
Sana Benefits $11,372 -41.5% 2
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $11,372 -41.5% 2
Loomis $11,372 -41.5% 2
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $11,372 -41.5% 2
Healthgram Inc (formerly Primary PhysicianCare Inc) $11,372 -41.5% 2
Upmc Tower Health W/ Cigna $10,642 -45.3% 4
Mvp Cigna $10,642 -45.3% 4
HealthPartners $7,896 -59.4% 10
UPMC Health Plan $7,896 -59.4% 12
Keystone First $2,850 -85.3% 8
AmeriHealth Caritas Pennsylvania Community HealthChoices $1,875 -90.4% 4
Straight Access $1,875 -90.4% 2
Medicaid (Generic) $1,875 -90.4% 4
Centene $1,875 -90.4% 2
KEYSTONE FIRST VIP CHOICE $1,875 -90.4% 2
TRICARE $592 -97.0% 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.