Payer comparison · OTHER 969 · LANCASTER, PA

969 — HIV With Extensive O.r. Procedures 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.

$177,190 All-payer median here

27 payer/plan-name variants

← This hospital National rates for 969 →

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	$573,229	223.5%	1
Workers Compensation	$400,520	126.0%	1
Claim Watcher	$378,463	113.6%	1
Pa Health And Wellness Commercial Exchange Medicaid	$338,765	91.2%	1
Claim Watcher Plus	$337,176	90.3%	1
Oscar Health	$335,456	89.3%	1
Highmark Commercial Non-Preferred	$276,573	56.1%	1
Elap Employees	$246,662	39.2%	1
GATEWAY HEALTH PLAN - MEDICARE ASSURED	$189,232	6.8%	1
Highmark Commercial Preferred	$183,306	3.5%	1
UPMC Health Plan	$181,439	2.4%	1
Devoted Health	$180,630	1.9%	1
Pa Health And Wellness Mcr	$180,630	1.9%	1
Health Partners Mcr Advantage	$177,190	0.0%	1
Cigna Healthspring/Bravo	$177,190	0.0%	1
Independence BCBS	$175,469	-1.0%	1
AmeriHealth Caritas	$175,469	-1.0%	1
Highmark BCBS	$174,385	-1.6%	4
Medicare (Generic)	$173,706	-2.0%	1
Albright Life	$172,029	-2.9%	1
Lebanon Veterans Hospital	$172,029	-2.9%	1
Coatesville Va	$172,029	-2.9%	1
UnitedHealthcare	$172,029	-2.9%	1
Capital BCBS	$164,609	-7.1%	2
Aetna	$154,089	-13.0%	2
Cigna Healthcare	$123,387	-30.4%	1
TRICARE	$13,512	-92.4%	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.