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 · OTHER 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.

$68,905 All-payer median here
$85,725 Cash / self-pay here
16 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 43.7% 1
Kaiser Permanente $98,992 43.7% 3
Sharp Healthcare $95,693 38.9% 1
Hn Bronze And Communitycare $92,393 34.1% 1
Bright Health $84,144 22.1% 1
Oscar Health $81,925 18.9% 2
Molina Healthcare $78,999 14.6% 2
Blue Shield of California $75,996 10.3% 2
MultiPlan $69,492 0.9% 2
Astiva Healthclever Care Of Ca $65,995 -4.2% 1
Central Health Planmolina $65,995 -4.2% 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 -4.2% 1
Prospect Health $65,995 -4.2% 1
Aetna $58,518 -15.1% 2
Central Health Plan Molina Sr Advantage $51,041 -25.9% 1
Anthem Blue Cross Snr Adv Blue Shield Senior Advantage Community Health Group Senior Advantage Easy Choice Healthnet Senior Advantage Humana Managed Health Network Advantage Uhc Senior Advantage Imperial Health Plan $51,041 -25.9% 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.