Price Transparencybeta 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 33225 · WALNUT CREEK, CA

33225 — L Ventric Pacing Lead Add-on

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.

$44,323 All-payer median here
$146,810 Cash / self-pay here
65 payer/plan-name variants
← This hospital National rates for 33225 →
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
   
CANOPY HN HMO [1166103] $81,112 83.0% 1
UMR (UnitedHealthcare TPA) $67,336 51.9% 1
WORKERS' COMP [1024005] $58,846 32.8% 1
United Behavioral Health (Optum) $57,751 30.3% 2
INTEGRATED HEALTH PLAN [1075104] $56,852 28.3% 1
Galaxy Health Network $56,852 28.3% 1
GENERIC PPO [1021104] $55,404 25.0% 1
GENERIC HMO [1018103] $55,404 25.0% 1
HEALTH MANAGEMENT NETWORK [1066104] $53,694 21.1% 1
FIRST HEALTH [1016104] $52,114 17.6% 2
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $50,535 14.0% 1
WESTERN HEALTH ADVANTAGE $50,535 14.0% 3
HEALTHSMART BENEFIT SOLUTIONS $50,535 14.0% 1
SUTTER HEALTH PLUS $50,535 14.0% 1
PPONEXT [1072104] $50,535 14.0% 1
FEDERAL CORRECTION INSTITUTE [1062104] $50,535 14.0% 1
NETWORKS BY DESIGN [1084104] $50,535 14.0% 1
Kaiser Permanente $47,745 7.7% 2
TRICARE $47,463 7.1% 1
Aetna $44,323 0.0% 5
Alignment Healthcare USA, LLC $44,323 0.0% 1
ALT MEDICARE [1038004] $44,323 0.0% 1
ALT MEDICARE A/B REBILL [1038003] $44,323 0.0% 1
BLUE CROSS BLUE SHIELD MCARE [1007127] $44,323 0.0% 1
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $44,323 0.0% 1
BLUE SHIELD MEDICARE [1006113] $44,323 0.0% 2
BLUE SHIELD-NETWORK MCARE [1006127] $44,323 0.0% 1
CARE 1ST HEALTH PLAN [1094113] $44,323 0.0% 1
CAREMORE [1171113] $44,323 0.0% 1
Center For Elders Independence $44,323 0.0% 1
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $44,323 0.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $44,323 0.0% 2
ESSENCE HEALTHCARE [1049028] $44,323 0.0% 1
ESSENCE HEALTHCARE [1049128] $44,323 0.0% 1
HOSPICE OF EAST BAY [1085104] $44,323 0.0% 1
Humana $44,323 0.0% 4
JOHN MUIR MEDICARE [1039113] $44,323 0.0% 1
Medicare (Generic) $44,323 0.0% 5
SCAN Health Plan - California $44,323 0.0% 3
UnitedHealthcare $44,323 0.0% 11
VETERANS ADMINISTRATION [1051113] $44,323 0.0% 1
Health Net $43,437 -2.0% 7
Contra Costa Health Services $41,112 -7.2% 2
HEALTHCOMP $40,656 -8.3% 2
GENERIC COMMERCIAL/INDEMNITY [1017001] $40,336 -9.0% 2
GOLDEN STATE-NETWORK MCARE [1023127] $39,891 -10.0% 1
FORTIFIED PROVIDER NETWORK [1063104] $34,743 -21.6% 1
Carelon Behavioral Health $34,743 -21.6% 1
MEDIGAP [1036001] $34,743 -21.6% 1
Three Rivers Provider Network $34,743 -21.6% 1
Cigna Healthcare $32,071 -27.6% 3
Anthem Blue Cross CA $29,559 -33.3% 7
APS HEALTHCARE [1003103] $28,426 -35.9% 1
Blue Shield of California $28,345 -36.0% 3
Benefit & Risk Management Services (BRMS) $27,619 -37.7% 1
EMPIRE PLAN [1092104] $27,619 -37.7% 1
BLUE CROSS BLUE SHIELD [1007204] $27,619 -37.7% 1
DELTA HEALTH SYSTEMS [1032104] $27,619 -37.7% 1
CARECENTRIX WELLCARE $25,268 -43.0% 1
BLUE SHIELD-NETWORK [1006026] $25,228 -43.1% 3
BLUE SHIELD HMO [1006103] $25,228 -43.1% 3
ANTHEM BLUE CROSS HMO [1002103] $24,478 -44.8% 2
DONOR NETWORK WEST [1008103] $4,000 -91.0% 1
JMPN CANOPY HN [1640000011] $597 -98.7% 1
CONTRA COSTA COUNTY JAIL [1012104] $258 -99.4% 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.