Payer comparison · OTHER 207 · LANCASTER, PA

207 — Respiratory System Diagnosis With Ventilator Support >96 Hours

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.

$130,198 All-payer median here

27 payer/plan-name variants

← This hospital National rates for 207 →

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	$415,012	218.8%	1
Workers Compensation	$307,301	136.0%	1
Claim Watcher	$272,796	109.5%	1
Pa Health And Wellness Commercial Exchange Medicaid	$245,273	88.4%	1
Claim Watcher Plus	$243,037	86.7%	1
Oscar Health	$241,797	85.7%	1
Highmark Commercial Non-Preferred	$236,764	81.8%	1
Elap Employees	$178,581	37.2%	1
Highmark Commercial Preferred	$156,921	20.5%	1
Highmark BCBS	$149,284	14.7%	4
Capital BCBS	$139,418	7.1%	2
GATEWAY HEALTH PLAN - MEDICARE ASSURED	$136,398	4.8%	1
UPMC Health Plan	$130,781	0.4%	1
Devoted Health	$130,198	0.0%	1
Pa Health And Wellness Mcr	$130,198	0.0%	1
Cigna Healthcare	$129,704	-0.4%	1
Health Partners Mcr Advantage	$127,718	-1.9%	1
Cigna Healthspring/Bravo	$127,718	-1.9%	1
AmeriHealth Caritas	$126,478	-2.9%	1
Independence BCBS	$126,478	-2.9%	1
Medicare (Generic)	$125,761	-3.4%	1
Aetna	$125,238	-3.8%	1
Albright Life	$123,998	-4.8%	1
Coatesville Va	$123,998	-4.8%	1
Lebanon Veterans Hospital	$123,998	-4.8%	1
UnitedHealthcare	$109,798	-15.7%	2
TRICARE	$7,250	-94.4%	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.