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 →

275 — Cardiac Defibrillator Implant With Cardiac Catheterization And 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.

$56,642 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 $164,286 190.0% 1
Blue Cross Blue Shield Traditional $156,314 176.0% 1
Sentara Health Plans $110,037 94.3% 1
Molina Healthcare $110,037 94.3% 1
4 Most Zelis Stratose $105,298 85.9% 1
CareSource $105,298 85.9% 1
Health Plan Of The Upper Ohio Valley $105,298 85.9% 1
MultiPlan $105,298 85.9% 1
UnitedHealthcare $81,772 44.4% 2
Aetna $80,703 42.5% 6
UMWA Health and Retirement Funds $79,367 40.1% 2
Pa Health & Wellness Medicare Advantage $56,108 -0.9% 1
Humana $56,108 -0.9% 1
Highmark BCBS $55,574 -1.9% 1
The Health Plan of West Virginia, Inc. $55,269 -2.4% 2
Peak Health Medicare Advantage $53,436 -5.7% 1
Anthem BCBS of Virginia $53,436 -5.7% 1
Optima Va Medicare Advantage $53,436 -5.7% 1
Highmark Health $53,137 -6.2% 1
Wellpoint West Virginia $53,137 -6.2% 1
Pennsylvania Health & Wellness $50,607 -10.7% 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.