Payer comparison · OTHER 004 · PRINCETON, WV

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

What each payer pays PRINCETON COMMUNITY HOSPITAL ASSN INC (CCN 510046) 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.

$110,032 All-payer median here

21 payer/plan-name variants

← This hospital National rates for 004 →

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

Blue Cross Blue Shield Ppo	$343,245	211.9%	1
Blue Cross Blue Shield Traditional	$326,590	196.8%	1
Health Plan Of The Upper Ohio Valley	$208,944	89.9%	1
MultiPlan	$208,944	89.9%	1
4 Most Zelis Stratose	$208,944	89.9%	1
CareSource	$208,944	89.9%	1
Molina Healthcare	$177,360	61.2%	1
Sentara Health Plans	$177,360	61.2%	1
UnitedHealthcare	$161,045	46.4%	2
Aetna	$158,969	44.5%	6
UMWA Health and Retirement Funds	$156,374	42.1%	2
Humana	$108,994	-0.9%	1
Pa Health & Wellness Medicare Advantage	$108,994	-0.9%	1
Highmark BCBS	$107,956	-1.9%	1
Peak Health Medicare Advantage	$103,804	-5.7%	1
Anthem BCBS of Virginia	$103,804	-5.7%	1
Optima Va Medicare Advantage	$103,804	-5.7%	1
The Health Plan of West Virginia, Inc.	$98,452	-10.5%	2
Wellpoint West Virginia	$85,648	-22.2%	1
Highmark Health	$85,648	-22.2%	1
Pennsylvania Health & Wellness	$81,570	-25.9%	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.