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 0795T · WALNUT CREEK, CA

0795T — Hc Tcat Ins 2chmbr Ldls Pm Cmpl

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.

$44,855 All-payer median here
$39,757 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 0795T →
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] $101,602 126.5% 1
JMPN CANOPY HN [1640000011] $101,602 126.5% 1
GALAXY HEALTH NETWORK [1064104] $79,514 77.3% 1
INTEGRATED HEALTH PLAN [1075104] $79,514 77.3% 1
EMPIRE PLAN [1092104] $79,126 76.4% 1
ANTHEM BLUE CROSS HMO [1002103] $79,126 76.4% 1
BLUE CROSS BLUE SHIELD [1007204] $79,126 76.4% 1
BRMS [1091104] $79,126 76.4% 1
DELTA HEALTH SYSTEMS [1032104] $79,126 76.4% 1
HEALTHCOMP [1089104] $77,111 71.9% 2
HEALTH MANAGEMENT NETWORK [1066104] $75,097 67.4% 1
HUMANA PPO [1030104] $73,330 63.5% 1
FIRST HEALTH [1016104] $72,888 62.5% 2
Kaiser Permanente $71,563 59.5% 1
NETWORKS BY DESIGN [1084104] $70,679 57.6% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $70,679 57.6% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $70,679 57.6% 1
FEDERAL CORRECTION INSTITUTE [1062104] $70,679 57.6% 1
HEALTHSMART - PKA INTERPLAN [1031104] $70,679 57.6% 1
SUTTER HEALTH PLUS $70,679 57.6% 1
PPONEXT [1072104] $70,679 57.6% 1
Anthem Blue Cross CA $70,026 56.1% 4
WESTERN HEALTH ADVANTAGE $68,471 52.6% 2
HEALTH NET PPO [1028104] $64,168 43.1% 1
AETNA LIFE [1001001] $63,877 42.4% 1
CIGNA PPO [1010104] $63,249 41.0% 1
Aetna $61,800 37.8% 2
AETNA HMO [1001103] $59,724 33.1% 1
Blue Shield of California $58,752 31.0% 1
BLUE SHIELD-NETWORK [1006026] $55,439 23.6% 2
BLUE SHIELD HMO [1006103] $55,439 23.6% 2
CONTRA COSTA HEALTH PLAN HMO [1013103] $53,010 18.2% 1
UMR (UnitedHealthcare TPA) $51,667 15.2% 1
HEALTH NET HMO [1028103] $50,412 12.4% 2
CANOPY HN HMO [1166103] $49,774 11.0% 1
FORTIFIED PROVIDER NETWORK [1063104] $48,592 8.3% 1
MEDIGAP [1036001] $48,592 8.3% 1
Carelon Behavioral Health $48,592 8.3% 1
Three Rivers Provider Network $48,592 8.3% 1
Cigna Healthcare $44,855 0.0% 2
UnitedHealthcare $44,422 -1.0% 7
APS HEALTHCARE [1003103] $39,757 -11.4% 1
Health Net $38,534 -14.1% 2
United Behavioral Health (Optum) $35,810 -20.2% 2
CARECENTRIX [1011001] $35,340 -21.2% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $34,669 -22.7% 2
GENERIC PPO [1021104] $33,999 -24.2% 1
GENERIC HMO [1018103] $33,999 -24.2% 1
AETNA MEDICARE [1001113] $27,199 -39.4% 1
CAREMORE [1171113] $27,199 -39.4% 1
CARE 1ST HEALTH PLAN [1094113] $27,199 -39.4% 1
HOSPICE OF EAST BAY [1085104] $27,199 -39.4% 1
Humana $27,199 -39.4% 3
HEALTH NET MEDICARE [1028113] $27,199 -39.4% 2
BLUE SHIELD-NETWORK MCARE [1006127] $27,199 -39.4% 1
BLUE SHIELD MEDICARE [1006113] $27,199 -39.4% 2
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $27,199 -39.4% 1
JOHN MUIR MEDICARE [1039113] $27,199 -39.4% 1
BLUE CROSS BLUE SHIELD MCARE [1007127] $27,199 -39.4% 1
Medicare (Generic) $27,199 -39.4% 3
MEDICARE [1038002] $27,199 -39.4% 2
EASY CHOICE HEALTH PLAN OF CALIFORNIA $27,199 -39.4% 2
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $27,199 -39.4% 1
ANTHEM BLUE CROSS MEDICARE [1002113] $27,199 -39.4% 1
ALT MEDICARE A/B REBILL [1038003] $27,199 -39.4% 1
SCAN Health Plan - California $27,199 -39.4% 3
ALT MEDICARE [1038004] $27,199 -39.4% 1
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $27,199 -39.4% 1
ESSENCE HEALTHCARE [1049128] $27,199 -39.4% 1
ESSENCE HEALTHCARE [1049028] $27,199 -39.4% 1
UNITED HEALTHCARE MEDICARE [1049113] $27,199 -39.4% 2
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $27,199 -39.4% 1
VETERANS ADMINISTRATION [1051113] $27,199 -39.4% 1
Alignment Healthcare USA, LLC $27,199 -39.4% 1
GOLDEN STATE-NETWORK MCARE [1023127] $24,479 -45.4% 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.