Price Transparencybeta 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 · HCPCS 63685 · STOCKTON, CA

63685 — Ins/rplc Spi Npg/rcvr Pocket

What each payer pays DAMERON HOSPITAL (CCN 050122) 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.

$40,700 All-payer median here
$74,091 Cash / self-pay here
43 payer/plan-name variants
← This hospital National rates for 63685 →
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
   
STANISLAUS COUNTY PARTNERS IP/OP ONLY-ALL PLANS $164,481 304.1% 1
PRIME HEALTH IP/OP ONLY-ALL PLANS $131,717 223.6% 1
MultiPlan $131,717 223.6% 1
HRGI-HEALTH RISK RESOURCE GROUP IP/OP ONLY-ALL PLA $115,252 183.2% 1
America's Choice Healthplans $94,441 132.0% 2
Sutter Valley Hospitals $74,091 82.0% 1
INCENTIVE CARE NETWORK IP/OP ONLY-ALL PLANS $73,260 80.0% 1
Cigna Healthcare $66,107 62.4% 2
HILL PHYSICIANS MG COMM OP ONLY-ALL OTHER PLANS $65,858 61.8% 1
Bright Health $58,405 43.5% 2
HILL PHYSICIANS MG MCR OP ONLY $57,626 41.6% 1
CDCR (NETWORK PROVIDERS, LLC) IP/OP ONLY-ALL PLANS $52,910 30.0% 1
OMNI IPA/MEDCORE MG COMM OP ONLY-ALL OTHER PLANS $49,394 21.4% 1
SUTTER SELECT IP/OP ONLY-ALL OTHER PLANS $49,394 21.4% 1
Imperial Health Plan of California $45,584 12.0% 1
SUTTER CENTRAL VALLEY MCR IP/OP ONLY $40,700 0.0% 1
COMMONWEALTH CARE ALLIANCE (CCA) (DOS 4/1/23 AND AFTER) (MEDICARE ADVANTAGE) $40,700 0.0% 1
CARE 1ST HEALTH PLAN MCR IP/OP ONLY-ALL PLANS $40,700 0.0% 1
Humana $40,700 0.0% 1
TRICARE West Region $40,700 0.0% 1
BLUE CROSS MEDICARE IP/OP ONLY $40,700 0.0% 1
MEDCORE HP $40,700 0.0% 1
SCAN Health Plan - California $40,700 0.0% 1
USA MCO MCR ADV IP/OP ONLY-ALL PLANS $40,700 0.0% 1
OMNI IPA/MEDCORE MG MCR OP ONLY $40,700 0.0% 1
PGBA TRIWEST VA CCN $40,700 0.0% 1
PACE (Program of All-Inclusive Care for the Elderly) $40,700 0.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $39,479 -3.0% 1
Alignment Healthcare USA, LLC $37,444 -8.0% 1
Aetna $21,510 -47.1% 2
UnitedHealthcare $20,297 -50.1% 3
NETWORKS BY DESIGN NON EXCLUSIVE IP/OP ONLY $11,198 -72.5% 1
INTERPLAN/HEALTHSMART IP/OP ONLY-ALL PLANS $10,000 -75.4% 1
NETWORKS BY DESIGN EXCLUSIVE IP/OP ONLY-ALL OTHER $9,221 -77.3% 1
BLUE SHIELD COMM IP/OP ONLY-ALL OTHER PLANS $8,952 -78.0% 1
Molina Healthcare $8,000 -80.3% 1
Blue Shield of California $7,162 -82.4% 3
BLUE CROSS IP/OP ONLY-ALL OTHER PLANS $5,368 -86.8% 1
SAN JOAQUIN COUNTY HEALTH COMMISSION $3,958 -90.3% 2
First Health Network $2,500 -93.9% 1
PACE MCAL IP/OP ONLY $814 -98.0% 1
HILL PHYSICIANS MG MCAL OP ONLY $597 -98.5% 1
Medi-Cal $543 -98.7% 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.