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 →

Payer comparison · OTHER 461 · PRINCETON, WV

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity 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.

$57,237 All-payer median here
21 payer/plan-name variants
← This hospital National rates for 461 →
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 $159,212 178.2% 1
Blue Cross Blue Shield Traditional $151,487 164.7% 1
Sentara Health Plans $116,857 104.2% 1
Molina Healthcare $116,857 104.2% 1
4 Most Zelis Stratose $100,301 75.2% 1
CareSource $100,301 75.2% 1
Health Plan Of The Upper Ohio Valley $100,301 75.2% 1
MultiPlan $100,301 75.2% 1
Aetna $78,903 37.9% 6
UnitedHealthcare $72,708 27.0% 2
UMWA Health and Retirement Funds $70,846 23.8% 2
Wellpoint West Virginia $56,431 -1.4% 1
Highmark Health $56,431 -1.4% 1
Pennsylvania Health & Wellness $53,744 -6.1% 1
The Health Plan of West Virginia, Inc. $50,555 -11.7% 2
Pa Health & Wellness Medicare Advantage $43,460 -24.1% 1
Humana $43,460 -24.1% 1
Highmark BCBS $43,046 -24.8% 1
Peak Health Medicare Advantage $41,390 -27.7% 1
Optima Va Medicare Advantage $41,390 -27.7% 1
Anthem BCBS of Virginia $41,390 -27.7% 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.