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 · OTHER 513 · AMBLER, PA

513 — Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc

What each payer pays HORSHAM CLINIC (CCN 394034) 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.

$845 All-payer median here
$131 Cash / self-pay here
33 payer/plan-name variants
← This hospital National rates for 513 →
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
   
CENPATICO- PENNSYLVANIA HEALTH AND WELLNESS PLAN ONLY $1,236 46.3% 1
TRICARE $1,225 44.9% 1
Lifesync Rate $1,150 36.1% 1
Pacificare Behav Hea Rate $900 6.5% 1
Blue Cross Interplan Rate $886 4.9% 2
Capital Blue Cross / CAIC $886 4.9% 2
Horizon BCBS of NJ $886 4.9% 2
AMERIHEALTH ADMINISTRATORS $886 4.9% 2
BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM $886 4.9% 2
Blue Cross Central C Rate $886 4.9% 2
Independence BCBS $886 4.9% 2
Personal Choice $886 4.9% 2
Highmark BCBS $886 4.9% 2
Keystone First $868 2.8% 4
Keystone Blue Chip(C Rate $868 2.8% 2
INDEPENDENCE ADMINISTRATORS $868 2.8% 2
Magellan Health $862 2.1% 10
Total Care Network Rate $815 -3.6% 2
Community Behavioral HealthCare Network of Pennsylvania (CBHNP) / PerformCare - HealthChoices $809 -4.2% 9
MHN (Managed Health Network) $759 -10.2% 3
Penn Behavioral Heal Rate $758 -10.2% 2
Community Behavioral Rate $757 -10.4% 2
Allied Trades/Ullica Rate $750 -11.2% 1
Integrated Behavr. H Rate $737 -12.8% 1
COMPREHENSIVE CARE SERVICES $700 -17.2% 1
Aetna Better Health Rate $671 -20.6% 1
Mental Health Consul Rate $650 -23.1% 1
Carpenters H & W Rate $650 -23.1% 1
Aetna $634 -24.9% 2
United Behavioral Health (Optum) $442 -47.7% 2
UPMC Health Plan $120 -85.8% 1
GATEWAY HEALTH PLAN - MEDICARE ASSURED $110 -87.0% 1
HEALTHSPRING $102 -87.9% 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.