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 33231 · WALNUT CREEK, CA

33231 — Insrt Pulse Gen W/mult Leads

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
$26,539 Cash / self-pay here
80 payer/plan-name variants
← This hospital National rates for 33231 →
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
UnitedHealthcare $80,772 82.2% 7
UMR (UnitedHealthcare TPA) $80,772 82.2% 1
United Behavioral Health (Optum) $64,852 46.3% 2
WORKERS' COMP [1024005] $58,846 32.8% 1
GENERIC PPO [1021104] $55,404 25.0% 1
GENERIC HMO [1018103] $55,404 25.0% 1
GALAXY HEALTH NETWORK [1064104] $53,078 19.8% 1
INTEGRATED HEALTH PLAN [1075104] $53,078 19.8% 1
HEALTH MANAGEMENT NETWORK [1066104] $50,129 13.1% 1
HUMANA PPO [1030104] $48,949 10.4% 1
FIRST HEALTH [1016104] $48,655 9.8% 2
Kaiser Permanente $47,770 7.8% 1
TRICARE $47,463 7.1% 1
PPONEXT [1072104] $47,180 6.4% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $47,180 6.4% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $47,180 6.4% 1
SUTTER HEALTH PLUS $47,180 6.4% 1
FEDERAL CORRECTION INSTITUTE [1062104] $47,180 6.4% 1
NETWORKS BY DESIGN [1084104] $47,180 6.4% 1
HEALTHSMART - PKA INTERPLAN [1031104] $47,180 6.4% 1
WESTERN HEALTH ADVANTAGE $45,706 3.1% 2
ESSENCE HEALTHCARE [1049028] $44,323 0.0% 1
ESSENCE HEALTHCARE [1049128] $44,323 0.0% 1
JOHN MUIR MEDICARE [1039113] $44,323 0.0% 1
Humana $44,323 0.0% 3
HOSPICE OF EAST BAY [1085104] $44,323 0.0% 1
HEALTH NET MEDICARE [1028113] $44,323 0.0% 2
AETNA MEDICARE [1001113] $44,323 0.0% 1
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
ANTHEM BLUE CROSS MEDICARE [1002113] $44,323 0.0% 1
VETERANS ADMINISTRATION [1051113] $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
UNITED HEALTHCARE MEDICARE [1049113] $44,323 0.0% 2
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
SCAN Health Plan - California $44,323 0.0% 3
CAREMORE [1171113] $44,323 0.0% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $44,323 0.0% 1
MEDICARE [1038002] $44,323 0.0% 2
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $44,323 0.0% 1
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $44,323 0.0% 1
Medicare (Generic) $44,323 0.0% 3
EASY CHOICE HEALTH PLAN OF CALIFORNIA $44,323 0.0% 2
KAISER MEDICARE [1033113] $44,323 0.0% 1
AETNA LIFE [1001001] $43,642 -1.5% 1
HEALTH NET PPO [1028104] $42,834 -3.4% 1
CIGNA PPO [1010104] $42,220 -4.7% 1
GOLDEN STATE-NETWORK MCARE [1023127] $39,891 -10.0% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $39,497 -10.9% 2
Health Net $38,544 -13.0% 2
CONTRA COSTA HEALTH PLAN HMO [1013103] $35,385 -20.2% 1
HEALTH NET HMO [1028103] $33,651 -24.1% 2
Carelon Behavioral Health $32,436 -26.8% 1
Three Rivers Provider Network $32,436 -26.8% 1
FORTIFIED PROVIDER NETWORK [1063104] $32,436 -26.8% 1
MEDIGAP [1036001] $32,436 -26.8% 1
HEALTHCOMP [1089104] $30,922 -30.2% 2
Cigna Healthcare $29,942 -32.4% 2
BLUE SHIELD-NETWORK [1006026] $27,025 -39.0% 3
BLUE SHIELD HMO [1006103] $27,025 -39.0% 3
Aetna $26,834 -39.5% 2
APS HEALTHCARE [1003103] $26,539 -40.1% 1
CARECENTRIX [1011001] $23,590 -46.8% 1
DELTA HEALTH SYSTEMS [1032104] $11,715 -73.6% 1
EMPIRE PLAN [1092104] $11,715 -73.6% 1
BLUE CROSS BLUE SHIELD [1007204] $11,715 -73.6% 1
BRMS [1091104] $11,715 -73.6% 1
Anthem Blue Cross CA $10,368 -76.6% 4
Blue Shield of California $10,040 -77.3% 2
AETNA HMO [1001103] $10,026 -77.4% 1
ANTHEM BLUE CROSS HMO [1002103] $8,228 -81.4% 1
DONOR NETWORK WEST [1008103] $4,000 -91.0% 1
JMPN UNITED HEALTHCARE [1640000002] $524 -98.8% 1
JMPN CANOPY HN [1640000011] $524 -98.8% 1
CONTRA COSTA COUNTY JAIL [1012104] $325 -99.3% 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.