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 93581 · ROYERSFORD, PA

93581 — Transcath Closure Of Vsd

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.

$18,380 All-payer median here
$13,380 Cash / self-pay here
64 payer/plan-name variants
← This hospital National rates for 93581 →
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 $37,902 106.2% 1
Surest (UHC) $37,902 106.2% 1
UMR (UnitedHealthcare TPA) $37,902 106.2% 3
ALL SAVERS INSURANCE COMPANY $37,902 106.2% 1
Oxford Life Insurance Company $37,902 106.2% 1
UnitedHealthcare $34,450 87.4% 22
Highmark BCBS $24,495 33.3% 4
KEYSTONE HEALTH PLAN EAST IBC $19,851 8.0% 1
Horizon BCBS of NJ $19,851 8.0% 3
INDEPENDENCE ADMINISTRATORS $19,851 8.0% 1
Empire Plan $19,851 8.0% 1
Keystone Hmo $19,851 8.0% 1
AMERIHEALTH ADMINISTRATORS $18,957 3.1% 2
Blue Cross Blue Shield Association $18,957 3.1% 2
BCBS FEDERAL PROGRAM $18,957 3.1% 2
CareFirst BCBS $18,957 3.1% 2
Regence BCBS $18,957 3.1% 2
Anthem (Elevance Health) $18,957 3.1% 2
Amerihealth New Jersey Hmo $18,957 3.1% 2
Capital BCBS $18,957 3.1% 2
Aetna $18,732 1.9% 23
UNIFIED HEALTH SERVICES $18,380 0.0% 1
AARP HEALTH CARE OPTIONS $18,380 0.0% 1
Gpm Health And Life Insurance Mc Supplement $18,380 0.0% 1
Independence BCBS $18,380 0.0% 17
DEVON HEALTH $18,380 0.0% 1
Shenandoah Life $18,380 0.0% 1
Medicare (Generic) $17,553 -4.5% 4
Capital Blue Cross / CAIC $17,553 -4.5% 2
Csi Medicare Supplement $17,553 -4.5% 2
Erie Insurance Medicare Supplement $17,553 -4.5% 2
Geisinger Health Plan $17,553 -4.5% 2
Humana $17,553 -4.5% 6
Medicare Novitas Solutions $17,553 -4.5% 2
Medicare Supplemental/ Plan F $17,553 -4.5% 2
Medicare Supplement Plan F- Mutual Of Omaha $17,553 -4.5% 2
Medicare Supplement Plan J $17,553 -4.5% 2
Novitas Solutions (JL) $17,553 -4.5% 2
Provider Partners Health Plan (PPHP) $17,553 -4.5% 2
Spartan Plan Pa Medicare Advantage $17,553 -4.5% 2
TRICARE $17,553 -4.5% 2
Vibra Health Plan $17,553 -4.5% 2
ConnectiCare $16,888 -8.1% 1
Cigna Healthcare $16,725 -9.0% 11
UPMC Health Plan $8,812 -52.1% 4
GEHA (Government Employees Health Association) $6,696 -63.6% 1
Meritan Health Aetna $6,696 -63.6% 1
Central Pa Teamsters $6,501 -64.6% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $1,419 -92.3% 1
Upmc Tower Health W/ Cigna $1,419 -92.3% 1
Loomis $1,419 -92.3% 1
Sana Benefits $1,419 -92.3% 1
Freedom Life Insurance Company $1,419 -92.3% 1
Mvp Cigna $1,419 -92.3% 1
CWI Benefits $1,419 -92.3% 1
HealthPartners $1,419 -92.3% 5
AMERICAN POSTAL WORKERS UNION HEALTH PLAN $1,419 -92.3% 1
NATIONAL ASSOCIATION OF LETTER CARRIERS (NALC) HEALTH BENEFIT PLAN $1,419 -92.3% 1
Straight Access $900 -95.1% 1
Centene $900 -95.1% 1
Keystone First $900 -95.1% 4
KEYSTONE FIRST VIP CHOICE $900 -95.1% 1
Medicaid (Generic) $900 -95.1% 2
AmeriHealth Caritas Pennsylvania Community HealthChoices $900 -95.1% 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.