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 463 · OCEANSIDE, CA

463 — Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders 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.

$70,040 All-payer median here
$29,390 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 463 →
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 $82,400 17.6% 1
Kaiser Permanente $82,400 17.6% 2
Sharp Health Plan $79,653 13.7% 1
Hn Bronze And Communitycare $76,906 9.8% 1
Oscar Health $76,906 9.8% 1
Molina Healthcare $74,160 5.9% 1
Blue Shield of California $70,040 0.0% 1
Bright Health $70,040 0.0% 1
Astiva Healthclever Care Of Ca $54,933 -21.6% 1
Aetna $54,933 -21.6% 1
MultiPlan $54,933 -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 $54,933 -21.6% 1
Prospect Health $54,933 -21.6% 1
Central Health Planmolina $54,933 -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.