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 →

0450 — Emergency Room - General Classification

What each payer pays TROY COMMUNITY HOSPITAL (CCN 391305) 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.

$696 All-payer median here
$1,172 Cash / self-pay here
26 payer/plan-name variants
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
   
FIDELIS CARE (CENTERCARE) $1,525 119.0% 289
Molina Healthcare $1,505 116.2% 292
Devon $1,281 84.0% 291
MultiPlan $1,281 84.0% 291
Health Assurance $1,206 73.2% 291
MVP Health Care $1,132 62.5% 1,218
POMCO Group $1,130 62.3% 291
Cigna Healthcare $1,034 48.5% 324
UnitedHealthcare $923 32.6% 1,391
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) $912 31.0% 883
Centene $911 30.9% 1,028
TRICARE $768 10.4% 300
Core $754 8.2% 291
Meshoppen $731 5.0% 291
WellCare Health Plans $696 0.0% 879
Mail Handlers $551 -20.8% 190
Blue Cross Blue Shield Association $551 -20.9% 2,151
Aetna $446 -35.9% 611
UPMC Health Plan $420 -39.7% 729
Geisinger Health Plan $383 -45.0% 700
Icircle $306 -56.1% 314
Highmark BCBS $298 -57.1% 291
Humana $281 -59.7% 291
EmblemHealth $271 -61.1% 292
AMERIHEALTH NEW JERSEY (NON-HMO) $225 -67.7% 388
HealthPartners $215 -69.1% 409

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.