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 221 · OCEANSIDE, CA

221 — Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/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.

$58,325 All-payer median here
$146,650 Cash / self-pay here
15 payer/plan-name variants
← This hospital National rates for 221 →
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
   
Health Net $67,814 16.3% 1
Kaiser Permanente $67,814 16.3% 2
Sharp Health Plan $65,554 12.4% 1
Oscar Health $63,293 8.5% 1
Hn Bronze And Communitycare $63,293 8.5% 1
Molina Healthcare $61,033 4.6% 1
Aetna Hmo/Ppo $59,007 1.2% 1
Blue Shield of California $57,642 -1.2% 1
Bright Health $57,642 -1.2% 1
Aetna $45,209 -22.5% 1
Central Health Planmolina $45,209 -22.5% 1
Anthem Blue Cross Snr Advblue Shield Senior Advantagecommunity Health Group Senior Advantageeasy Choicehealthnet Senior Advantagehumanamanaged Health Network Advantageuhc Senior Advantageimperial Health Plan $45,209 -22.5% 1
MultiPlan $45,209 -22.5% 1
Prospect Health $45,209 -22.5% 1
Astiva Healthclever Care Of Ca $45,209 -22.5% 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.