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 →

0409T — Insj/rplc Car Modulj Pls Gn

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.

$72,724 All-payer median here
$7,666 Cash / self-pay here
16 payer/plan-name variants
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 Traditional $122,709 68.7% 1
Blue Cross Blue Shield Ppo $122,520 68.5% 1
4 Most Zelis Stratose $72,724 0.0% 1
MultiPlan $72,724 0.0% 1
Aetna $72,724 0.0% 5
CareSource $72,724 0.0% 1
Health Plan Of The Upper Ohio Valley $72,724 0.0% 1
UnitedHealthcare $48,756 -33.0% 2
UMWA Health and Retirement Funds $47,732 -34.4% 2
The Health Plan of West Virginia, Inc. $24,105 -66.9% 1
Humana $23,877 -67.2% 1
Pa Health & Wellness Medicare Advantage $23,877 -67.2% 1
Highmark BCBS $23,650 -67.5% 1
Anthem BCBS of Virginia $22,740 -68.7% 1
Optima Va Medicare Advantage $22,740 -68.7% 1
Peak Health Medicare Advantage $22,740 -68.7% 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.