Price Transparency 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 · OTHER 604 · WILKES BARRE TOWNSHI, PA

604 — Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc

What each payer pays John Heinz Institute of Rehabilitation (CCN 393036) 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.

$49,894 All-payer median here
6 payer/plan-name variants
← This hospital National rates for 604 →
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
   
Aetna $54,883 10.0% 2
Allwell (Centene Medicare Advantage) $49,894 0.0% 2
AmeriHealth Caritas $49,894 0.0% 2
Humana $49,894 0.0% 2
UnitedHealthcare $49,093 -1.6% 2
VA COMMUNITY CARE NETWORK REGION 1 $33,751 -32.4% 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.