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 461 · OCEANSIDE, CA

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

$84,144 All-payer median here
$85,725 Cash / self-pay here
14 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
   
Health Net $98,992 17.6% 1
Kaiser Permanente $98,992 17.6% 2
Sharp Health Plan $95,693 13.7% 1
Hn Bronze And Communitycare $92,393 9.8% 1
Oscar Health $92,393 9.8% 1
Molina Healthcare $89,093 5.9% 1
Blue Shield of California $84,144 0.0% 1
Bright Health $84,144 0.0% 1
Astiva Healthclever Care Of Ca $65,995 -21.6% 1
Aetna $65,995 -21.6% 1
MultiPlan $65,995 -21.6% 1
Anthem Blue Cross Snr Advblue Shield Senior Advantagecommunity Health Group Senior Advantageeasy Choicehealthnet Senior Advantagehumanamanaged Health Network Advantageuhc Senior Advantageimperial Health Plan $65,995 -21.6% 1
Prospect Health $65,995 -21.6% 1
Central Health Planmolina $65,995 -21.6% 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.