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 · OTHER 216 · SAN GABRIEL, CA

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays SAN GABRIEL VALLEY MEDICAL CENTER (CCN 050132) 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.

$98,455 All-payer median here
38 payer/plan-name variants
← This hospital National rates for 216 →
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
   
Athens Administrators $171,347 74.0% 1
Other Non Contracting Workers Comp $171,347 74.0% 1
Health Net $167,920 70.6% 7
Allied Physicians $150,646 53.0% 1
Knox-Keene Act $125,538 27.5% 1
Aetna $122,040 24.0% 2
Avanti $120,517 22.4% 3
EMANATE HEALTH IPA $112,984 14.8% 2
Beverly Hospital $104,464 6.1% 2
Molina Healthcare $102,941 4.6% 2
BRAND NEW DAY (FFS) $101,954 3.6% 4
Cv-19 Hrsa Uninsured Testing And Tx $100,430 2.0% 1
AIDS Healthcare Foundation $100,430 2.0% 2
INTER VALLEY HEALTH PLAN (IVHP) $100,430 2.0% 1
Medicare Advantage/Caremore $100,430 2.0% 1
Self-Pay $100,430 2.0% 1
Central Health Plan $98,455 0.0% 1
Anthem Blue Cross CA $98,455 0.0% 1
Altamed Health Services Corporation $98,455 0.0% 1
UnitedHealthcare $98,455 0.0% 1
Kaiser Permanente $98,455 0.0% 1
Local Initiative Health Authority for LA County $98,455 0.0% 3
Medicare (Generic) $98,455 0.0% 1
Other Non Contracting Medicare $98,455 0.0% 1
Pacific Alliance Medical Center $98,455 0.0% 1
Providence Health Network $98,455 0.0% 1
WellCare Health Plans $98,455 0.0% 1
Apa/Aco Inc $98,455 0.0% 1
BeechStreet Corporation $87,723 -10.9% 2
VA / CHAMPVA $70,301 -28.6% 1
Humana $65,743 -33.2% 2
Blue Shield of California $53,502 -45.7% 3
Alignment Healthcare USA, LLC $51,517 -47.7% 2
Ahmc Reciprocity $44,501 -54.8% 2
Clever Care Health Plan, Inc. $31,390 -68.1% 2
Affiliated Health Fund $27,600 -72.0% 1
Community Care Network $26,312 -73.3% 2
Centene $5,180 -94.7% 4

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.