Payer comparison · OTHER 2 · LANCASTER, PA

2 — Heart Transplant Or Implant Of Heart Assist System Without 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.

$200,098 All-payer median here

26 payer/plan-name variants

← This hospital National rates for 2 →

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	$610,539	205.1%	1
Highmark Commercial Non-Preferred	$432,112	116.0%	1
Workers Compensation	$423,859	111.8%	1
Highmark BCBS	$414,088	106.9%	4
Highmark Commercial Preferred	$414,088	106.9%	1
Claim Watcher	$400,196	100.0%	1
Pa Health And Wellness Commercial Exchange Medicaid	$360,812	80.3%	1
Claim Watcher Plus	$356,538	78.2%	1
Oscar Health	$354,719	77.3%	1
Capital BCBS	$305,113	52.5%	2
Elap Employees	$262,717	31.3%	1
Cigna Healthcare	$228,415	14.2%	1
Aetna	$216,292	8.1%	2
GATEWAY HEALTH PLAN - MEDICARE ASSURED	$200,098	0.0%	1
UPMC Health Plan	$191,858	-4.1%	1
Devoted Health	$191,003	-4.5%	1
Pa Health And Wellness Mcr	$191,003	-4.5%	1
Health Partners Mcr Advantage	$187,364	-6.4%	1
Cigna Healthspring/Bravo	$187,364	-6.4%	1
Independence BCBS	$185,545	-7.3%	1
AmeriHealth Caritas	$185,545	-7.3%	1
Medicare (Generic)	$185,012	-7.5%	1
Lebanon Veterans Hospital	$181,907	-9.1%	1
Coatesville Va	$181,907	-9.1%	1
Albright Life	$181,907	-9.1%	1
TRICARE	$15,976	-92.0%	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.