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 →

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

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.

$79,876 All-payer median here
21 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 Ppo $226,619 183.7% 1
Blue Cross Blue Shield Traditional $215,623 169.9% 1
Sentara Health Plans $162,316 103.2% 1
Molina Healthcare $162,316 103.2% 1
4 Most Zelis Stratose $147,465 84.6% 1
CareSource $147,465 84.6% 1
Health Plan Of The Upper Ohio Valley $147,465 84.6% 1
MultiPlan $147,465 84.6% 1
UnitedHealthcare $113,689 42.3% 2
Aetna $113,671 42.3% 6
UMWA Health and Retirement Funds $110,390 38.2% 2
The Health Plan of West Virginia, Inc. $78,608 -1.6% 2
Highmark Health $78,383 -1.9% 1
Wellpoint West Virginia $78,383 -1.9% 1
Humana $76,979 -3.6% 1
Pa Health & Wellness Medicare Advantage $76,979 -3.6% 1
Highmark BCBS $76,246 -4.5% 1
Pennsylvania Health & Wellness $74,650 -6.5% 1
Peak Health Medicare Advantage $73,314 -8.2% 1
Optima Va Medicare Advantage $73,314 -8.2% 1
Anthem BCBS of Virginia $73,314 -8.2% 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.