Price Transparency 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 59572077501J0896 · LANCASTER, PA

59572077501J0896 — Luspatercept Aamt 75 Mg Sc Solr

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.

$625,190 All-payer median here
$2,193,651 Cash / self-pay here
48 payer/plan-name variants
← This hospital National rates for 59572077501J0896 →
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
   
Highmark Commercial Non-Preferred $2,202,610 252.3% 2
VALUE OPTIONS $2,193,651 250.9% 1
Magellan Health $2,193,651 250.9% 1
Workers Compensation $2,193,651 250.9% 1
United Behavioral Health (Optum) $2,193,651 250.9% 1
Commercial Generic $2,193,651 250.9% 1
Christian Care Ministries (MediShare) $2,083,968 233.3% 1
Devon $1,864,603 198.2% 1
Preferred Healthcare $1,864,603 198.2% 1
InterGroup Services $1,864,603 198.2% 1
Highmark Commercial Preferred $1,830,621 192.8% 2
Highmark BCBS $1,826,043 192.1% 7
Ehp $1,798,794 187.7% 1
Cigna Healthcare $1,655,768 164.8% 3
Masonic Homes $1,557,492 149.1% 2
Affilia Home Health $1,535,556 145.6% 2
Lancashire Hall $1,425,873 128.1% 2
Eliance Health Solutions $1,403,937 124.6% 1
Geisinger Health Plan $932,325 49.1% 2
UPMC Health Plan $899,419 43.9% 4
Nursing Home Op Services $658,095 5.3% 1
Old Order Group $647,127 3.5% 2
CoreSource AZ/MN/MD/PA/IL/NC/IN $625,190 0.0% 1
Hospice And Community Care $416,794 -33.3% 1
Elap Other Groups $156 -100.0% 1
Claim Watcher $141 -100.0% 1
Claim Watcher Plus $128 -100.0% 1
Oscar Health $83 -100.0% 1
Aetna $81 -100.0% 2
Capital BCBS $67 -100.0% 2
Elap Employees $61 -100.0% 1
Pa Health And Wellness Medicaid $49 -100.0% 1
Independence BCBS $46 -100.0% 3
Devoted Health $45 -100.0% 1
Cigna Healthspring/Bravo $44 -100.0% 1
Health Partners Mcr Advantage $44 -100.0% 1
AmeriHealth Caritas $43 -100.0% 2
Hospice Generic $43 -100.0% 1
Coatesville Va $43 -100.0% 1
Pa Health And Wellness Mcr $43 -100.0% 1
Lebanon Veterans Hospital $43 -100.0% 1
UnitedHealthcare $43 -100.0% 3
Albright Life $43 -100.0% 1
GATEWAY HEALTH PLAN - MEDICARE ASSURED $43 -100.0% 1
Medicare (Generic) $43 -100.0% 1
Keystone First $43 -100.0% 1
Gateway Health Plan $42 -100.0% 1
Health Partners Medicaid $42 -100.0% 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.