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 · CPT 219 · OCEANSIDE, CA

219 — Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc

What each payer pays TRI-CITY MEDICAL CENTER (CCN 050128) 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.

$79,035 All-payer median here
$314,276 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 219 →
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
   
Kaiser Permanente $111,819 41.5% 2
Health Net $111,819 41.5% 1
Sharp Health Plan $108,092 36.8% 1
Oscar Health $104,365 32.0% 1
Hn Bronze And Communitycare $104,365 32.0% 1
Molina Healthcare $100,637 27.3% 1
Bright Health $83,523 5.7% 1
Blue Shield of California $83,523 5.7% 1
Aetna $74,546 -5.7% 1
Anthem Blue Cross Snr Advblue Shield Senior Advantagecommunity Health Group Senior Advantageeasy Choicehealthnet Senior Advantagehumanamanaged Health Network Advantageuhc Senior Advantageimperial Health Plan $74,546 -5.7% 1
Astiva Healthclever Care Of Ca $74,546 -5.7% 1
Central Health Planmolina $74,546 -5.7% 1
MultiPlan $74,546 -5.7% 1
Prospect Health $74,546 -5.7% 1
UnitedHealthcare $66,599 -15.7% 1
Uhc Select $61,927 -21.6% 1
Aetna Hmo/Ppo $59,007 -25.3% 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.