Payer comparison · CPT 69714 · ROYERSFORD, PA

69714 — Impl Oi Implt Skull Perq Esp

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.

$18,977 All-payer median here

$23,891 Cash / self-pay here

83 payer/plan-name variants

← This hospital National rates for 69714 →

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	$63,363	233.9%	1
Allsavers	$63,363	233.9%	1
United Healthcare Choice Plus	$63,363	233.9%	1
Oxford Life Insurance Company	$63,363	233.9%	1
Surest (UHC)	$63,363	233.9%	1
UMR (UnitedHealthcare TPA)	$63,363	233.9%	2
UnitedHealthcare	$29,864	57.4%	15
Independence Administrators	$25,503	34.4%	2
Regence Blue Shield	$25,503	34.4%	2
Keystone Hmo	$25,503	34.4%	2
Empire Plan	$25,503	34.4%	2
Amerihealth Administrators	$25,503	34.4%	2
Amerihealth New Jersey Hmo	$25,503	34.4%	2
Anthem (Elevance Health)	$25,503	34.4%	2
Carefirst Administrators	$25,503	34.4%	2
Keystone Direct Pos	$25,503	34.4%	2
Horizon BCBS of NJ	$25,503	34.4%	4
Bcbs Federal	$25,503	34.4%	2
Blue Cross Blue Shield Association	$25,503	34.4%	2
Capital BCBS	$25,503	34.4%	2
Independence BCBS	$24,308	28.1%	28
Aetna Medicare Ppo	$23,971	26.3%	2
Highmark BCBS	$23,577	24.2%	4
Medicare Novitas Solutions	$21,318	12.3%	2
Vibra Health Plan	$21,318	12.3%	2
UNIFIED HEALTH SERVICES	$21,318	12.3%	2
Capital Blue Cross / CAIC	$21,318	12.3%	2
Spartan Plan Pa Medicare Advantage	$21,318	12.3%	2
Shenandoah Life	$21,318	12.3%	2
Csi Medicare Supplement	$21,318	12.3%	2
Devon Health Services	$21,318	12.3%	2
Erie Insurance Medicare Supplement	$21,318	12.3%	2
Provider Partners Health Plan (PPHP)	$21,318	12.3%	2
Geisinger Medicare Advantage	$21,318	12.3%	2
Gpm Health And Life Insurance Mc Supplement	$21,318	12.3%	2
Pcsh Aarp	$21,318	12.3%	2
Novitas Solutions (JL)	$21,318	12.3%	2
Medicare Supplemental/ Plan F	$21,318	12.3%	2
Medicare Supplement Plan J	$21,318	12.3%	2
Medicare Supplement Plan F- Mutual Of Omaha	$21,318	12.3%	2
Medicare (Generic)	$21,318	12.3%	4
UPMC Health Plan	$19,295	1.7%	3
Cigna Healthcare	$18,977	0.0%	11
Apwu	$18,977	0.0%	1
Mvp Cigna	$18,977	0.0%	1
Loomis	$18,977	0.0%	1
Healthgram Inc (formerly Primary PhysicianCare Inc)	$18,977	0.0%	1
Freedom Life Insurance Company	$18,977	0.0%	1
Cwi Benefits	$18,977	0.0%	1
Sana Benefits	$18,977	0.0%	1
Nalc Health	$18,977	0.0%	1
Upmc Tower Health W/ Cigna	$18,977	0.0%	1
Aetna	$18,862	-0.6%	26
CONNECTICARE (COMMERCIAL)	$15,680	-17.4%	2
MARPAI	$15,298	-19.4%	2
LUCENT HEALTH	$15,298	-19.4%	2
Meritain Health	$15,298	-19.4%	2
Meritan Health Aetna	$15,298	-19.4%	2
Aetna Coventry Advantra	$15,298	-19.4%	2
HealthEZ	$15,298	-19.4%	2
Premier Care Network	$15,298	-19.4%	2
GEHA (Government Employees Health Association)	$15,298	-19.4%	2
Continental Benefits	$15,298	-19.4%	2
Trustmark	$15,298	-19.4%	2
Allied Benefits Systems	$15,298	-19.4%	2
Allied Benefit Systems	$15,298	-19.4%	2
Ag Administrators Inc	$15,298	-19.4%	2
Ag Administrators	$15,298	-19.4%	2
Aetna Op	$15,298	-19.4%	2
Aetna Ip	$15,298	-19.4%	2
Central Pa Teamsters	$14,192	-25.2%	2
HealthPartners	$12,772	-32.7%	5
Humana	$12,772	-32.7%	7
TRICARE	$7,224	-61.9%	4
Keystone First	$2,850	-85.0%	6
AmeriHealth Caritas Pennsylvania Community HealthChoices	$1,875	-90.1%	2
Straight Access	$1,875	-90.1%	2
Centene	$1,875	-90.1%	2
Medicaid (Generic)	$1,875	-90.1%	2
Keystone First Vip Choice	$1,875	-90.1%	2
Upmc Health Plan - Medicaid	$1,875	-90.1%	2
Pcsh Humana Tricare East	$1,675	-91.2%	1
Humana Tricare East	$1,675	-91.2%	1

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.