Payer comparison · OTHER 1 · LANCASTER, PA

1 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays Penn Medicine Lancaster General Health (CCN 397013) 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.

$251,005 All-payer median here

26 payer/plan-name variants

← This hospital National rates for 1 →

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

Elap Other Groups	$778,351	210.1%	1
Cigna Healthcare	$564,878	125.0%	1
Claim Watcher	$502,010	100.0%	1
Capital BCBS	$496,771	97.9%	2
Workers Compensation	$477,919	90.4%	1
Highmark BCBS	$465,626	85.5%	4
Highmark Commercial Preferred	$465,626	85.5%	1
Highmark Commercial Non-Preferred	$465,626	85.5%	1
Pa Health And Wellness Commercial Exchange Medicaid	$459,974	83.3%	1
Claim Watcher Plus	$447,245	78.2%	1
Oscar Health	$444,963	77.3%	1
Aetna	$422,950	68.5%	2
Elap Employees	$334,927	33.4%	1
GATEWAY HEALTH PLAN - MEDICARE ASSURED	$251,005	0.0%	1
UPMC Health Plan	$240,668	-4.1%	1
Devoted Health	$239,595	-4.5%	1
Pa Health And Wellness Mcr	$239,595	-4.5%	1
Medicare (Generic)	$235,864	-6.0%	1
Health Partners Mcr Advantage	$235,032	-6.4%	1
Cigna Healthspring/Bravo	$235,032	-6.4%	1
Independence BCBS	$232,750	-7.3%	1
AmeriHealth Caritas	$232,750	-7.3%	1
Albright Life	$228,186	-9.1%	1
Coatesville Va	$228,186	-9.1%	1
Lebanon Veterans Hospital	$228,186	-9.1%	1
TRICARE	$11,631	-95.4%	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.