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 →

391 — Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc

What each payer pays SAN JOAQUIN GENERAL HOSPITAL (CCN 050167) 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.

$550 All-payer median here
$674 Cash / self-pay here
16 payer/plan-name variants
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
   
Kaiser Permanente $1,152 109.2% 1
Provider Network of America (PNOA) $931 69.2% 1
Networks By Design $919 66.9% 1
Sutter $673 22.3% 2
Health Net $643 16.9% 4
San Joaquin Health Partners $643 16.9% 2
WellCare Health Plans $550 0.0% 1
Anthem Blue Cross CA $550 0.0% 1
Blueshield $550 0.0% 1
BRAND NEW DAY (FFS) $550 0.0% 1
Cigna Healthcare $550 0.0% 1
Humana $550 0.0% 2
UnitedHealthcare $550 0.0% 1
Ca Health And Wellness $531 -3.6% 1
Blue Shield of California $429 -22.1% 2
Aetna $292 -47.0% 2

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.