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 0646T · WALNUT CREEK, CA

0646T — Ttvi/rplcmt W/prstc Vlv Perq

What each payer pays JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS (CCN 050180) 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.

$108,320 All-payer median here
$72,106 Cash / self-pay here
47 payer/plan-name variants
← This hospital National rates for 0646T →
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
   
JMPN UNITED HEALTHCARE [1640000002] $184,272 70.1% 1
JMPN CANOPY HN [1640000011] $184,272 70.1% 1
GALAXY HEALTH NETWORK [1064104] $144,213 33.1% 1
INTEGRATED HEALTH PLAN [1075104] $144,213 33.1% 1
BLUE CROSS BLUE SHIELD [1007204] $143,508 32.5% 1
DELTA HEALTH SYSTEMS [1032104] $143,508 32.5% 1
EMPIRE PLAN [1092104] $143,508 32.5% 1
ANTHEM BLUE CROSS HMO [1002103] $143,508 32.5% 1
BRMS [1091104] $143,508 32.5% 1
HEALTHCOMP [1089104] $139,854 29.1% 2
HEALTH MANAGEMENT NETWORK [1066104] $136,201 25.7% 1
HUMANA PPO [1030104] $132,996 22.8% 1
FIRST HEALTH [1016104] $132,195 22.0% 2
Kaiser Permanente $129,791 19.8% 1
SUTTER HEALTH PLUS $128,189 18.3% 1
HEALTHSMART - PKA INTERPLAN [1031104] $128,189 18.3% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $128,189 18.3% 1
FEDERAL CORRECTION INSTITUTE [1062104] $128,189 18.3% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $128,189 18.3% 1
NETWORKS BY DESIGN [1084104] $128,189 18.3% 1
PPONEXT [1072104] $128,189 18.3% 1
Anthem Blue Cross CA $127,003 17.2% 4
WESTERN HEALTH ADVANTAGE $124,183 14.6% 2
HEALTH NET PPO [1028104] $116,380 7.4% 1
AETNA LIFE [1001001] $115,851 7.0% 1
CIGNA PPO [1010104] $114,713 5.9% 1
Aetna $112,085 3.5% 2
AETNA HMO [1001103] $108,320 0.0% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $96,142 -11.2% 1
UMR (UnitedHealthcare TPA) $93,706 -13.5% 1
HEALTH NET HMO [1028103] $91,431 -15.6% 2
Health Net $91,431 -15.6% 1
FORTIFIED PROVIDER NETWORK [1063104] $88,130 -18.6% 1
Three Rivers Provider Network $88,130 -18.6% 1
Carelon Behavioral Health $88,130 -18.6% 1
MEDIGAP [1036001] $88,130 -18.6% 1
Cigna Healthcare $81,352 -24.9% 2
United Behavioral Health (Optum) $80,567 -25.6% 1
UnitedHealthcare $80,567 -25.6% 6
APS HEALTHCARE [1003103] $72,106 -33.4% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $64,094 -40.8% 1
CARECENTRIX [1011001] $64,094 -40.8% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $56,083 -48.2% 1
CANOPY HN HMO [1166103] $48,071 -55.6% 1
Blue Shield of California $3,100 -97.1% 2
BLUE SHIELD HMO [1006103] $2,671 -97.5% 3
BLUE SHIELD-NETWORK [1006026] $2,671 -97.5% 3

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.