Payer comparison · OTHER 4 · LANCASTER, PA

4 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

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.

$249,548 All-payer median here

28 payer/plan-name variants

← This hospital National rates for 4 →

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	$795,065	218.6%	1
Workers Compensation	$540,700	116.7%	1
Claim Watcher	$521,695	109.1%	1
Pa Health And Wellness Commercial Exchange Medicaid	$469,850	88.3%	1
Claim Watcher Plus	$464,783	86.2%	1
Oscar Health	$462,411	85.3%	1
Highmark Commercial Non-Preferred	$415,760	66.6%	1
Elap Employees	$342,119	37.1%	1
Geisinger Health Plan	$330,923	32.6%	1
Cigna Healthcare	$279,203	11.9%	1
Capital BCBS	$278,790	11.7%	2
Highmark Commercial Preferred	$275,555	10.4%	1
Highmark BCBS	$262,145	5.0%	4
GATEWAY HEALTH PLAN - MEDICARE ASSURED	$260,848	4.5%	1
UPMC Health Plan	$250,105	0.2%	1
Devoted Health	$248,991	-0.2%	1
Pa Health And Wellness Mcr	$248,991	-0.2%	1
Health Partners Mcr Advantage	$244,248	-2.1%	1
Cigna Healthspring/Bravo	$244,248	-2.1%	1
AmeriHealth Caritas	$241,877	-3.1%	1
Independence BCBS	$241,877	-3.1%	1
Medicare (Generic)	$240,929	-3.5%	1
Aetna	$239,505	-4.0%	1
Albright Life	$237,134	-5.0%	1
Coatesville Va	$237,134	-5.0%	1
UnitedHealthcare	$237,134	-5.0%	1
Lebanon Veterans Hospital	$237,134	-5.0%	1
TRICARE	$8,178	-96.7%	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.