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 →

969 — HIV With Extensive O.r. Procedures 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.

$63,438 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 $160,475 153.0% 1
Blue Cross Blue Shield Traditional $152,689 140.7% 1
Sentara Health Plans $129,517 104.2% 1
Molina Healthcare $129,517 104.2% 1
4 Most Zelis Stratose $103,175 62.6% 1
CareSource $103,175 62.6% 1
Health Plan Of The Upper Ohio Valley $103,175 62.6% 1
MultiPlan $103,175 62.6% 1
Aetna $83,455 31.6% 6
UnitedHealthcare $76,588 20.7% 2
UMWA Health and Retirement Funds $74,524 17.5% 2
Wellpoint West Virginia $62,544 -1.4% 1
Highmark Health $62,544 -1.4% 1
Pennsylvania Health & Wellness $59,566 -6.1% 1
The Health Plan of West Virginia, Inc. $56,032 -11.7% 2
Pa Health & Wellness Medicare Advantage $48,167 -24.1% 1
Humana $48,167 -24.1% 1
Highmark BCBS $47,709 -24.8% 1
Peak Health Medicare Advantage $45,874 -27.7% 1
Optima Va Medicare Advantage $45,874 -27.7% 1
Anthem BCBS of Virginia $45,874 -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.