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 33249 · WALNUT CREEK, CA

33249 — Insj/rplcmt Defib W/lead(s)

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
$37,742 Cash / self-pay here
76 payer/plan-name variants
← This hospital National rates for 33249 →
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) $80,772 82.2% 1
UnitedHealthcare $80,772 82.2% 7
GALAXY HEALTH NETWORK [1064104] $75,484 70.3% 1
INTEGRATED HEALTH PLAN [1075104] $75,484 70.3% 1
HEALTHCOMP [1089104] $71,291 60.8% 1
HEALTH MANAGEMENT NETWORK [1066104] $71,291 60.8% 1
HUMANA PPO [1030104] $69,613 57.1% 1
FIRST HEALTH [1016104] $69,194 56.1% 2
Kaiser Permanente $67,936 53.3% 1
FEDERAL CORRECTION INSTITUTE [1062104] $67,097 51.4% 1
PPONEXT [1072104] $67,097 51.4% 1
NETWORKS BY DESIGN [1084104] $67,097 51.4% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $67,097 51.4% 1
SUTTER HEALTH PLUS $67,097 51.4% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $67,097 51.4% 1
HEALTHSMART - PKA INTERPLAN [1031104] $67,097 51.4% 1
WESTERN HEALTH ADVANTAGE $65,000 46.7% 2
United Behavioral Health (Optum) $64,852 46.3% 2
AETNA LIFE [1001001] $62,065 40.0% 1
HEALTH NET PPO [1028104] $60,916 37.4% 1
WORKERS' COMP [1024005] $58,846 32.8% 1
GENERIC HMO [1018103] $55,404 25.0% 1
GENERIC PPO [1021104] $55,404 25.0% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $50,323 13.5% 1
HEALTH NET HMO [1028103] $47,857 8.0% 2
TRICARE $47,463 7.1% 1
Carelon Behavioral Health $46,129 4.1% 1
MEDIGAP [1036001] $46,129 4.1% 1
Three Rivers Provider Network $46,129 4.1% 1
FORTIFIED PROVIDER NETWORK [1063104] $46,129 4.1% 1
Health Net $45,647 3.0% 2
CIGNA PPO [1010104] $45,501 2.7% 2
GENERIC COMMERCIAL/INDEMNITY [1017001] $44,476 0.3% 2
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $44,323 0.0% 1
ESSENCE HEALTHCARE [1049028] $44,323 0.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $44,323 0.0% 2
JOHN MUIR MEDICARE [1039113] $44,323 0.0% 1
KAISER MEDICARE [1033113] $44,323 0.0% 1
Medicare (Generic) $44,323 0.0% 3
MEDICARE [1038002] $44,323 0.0% 2
BLUE SHIELD MEDICARE [1006113] $44,323 0.0% 2
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $44,323 0.0% 1
BLUE CROSS BLUE SHIELD MCARE [1007127] $44,323 0.0% 1
SCAN Health Plan - California $44,323 0.0% 3
ANTHEM BLUE CROSS MEDICARE [1002113] $44,323 0.0% 1
ALT MEDICARE A/B REBILL [1038003] $44,323 0.0% 1
UNITED HEALTHCARE MEDICARE [1049113] $44,323 0.0% 2
ALT MEDICARE [1038004] $44,323 0.0% 1
VETERANS ADMINISTRATION [1051113] $44,323 0.0% 1
Alignment Healthcare USA, LLC $44,323 0.0% 1
AETNA MEDICARE [1001113] $44,323 0.0% 1
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $44,323 0.0% 1
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $44,323 0.0% 1
ESSENCE HEALTHCARE [1049128] $44,323 0.0% 1
HEALTH NET MEDICARE [1028113] $44,323 0.0% 2
CAREMORE [1171113] $44,323 0.0% 1
CARE 1ST HEALTH PLAN [1094113] $44,323 0.0% 1
HOSPICE OF EAST BAY [1085104] $44,323 0.0% 1
Humana $44,323 0.0% 3
BLUE SHIELD-NETWORK MCARE [1006127] $44,323 0.0% 1
Cigna Healthcare $42,582 -3.9% 2
GOLDEN STATE-NETWORK MCARE [1023127] $39,891 -10.0% 1
Aetna $38,050 -14.2% 2
APS HEALTHCARE [1003103] $37,742 -14.8% 1
Blue Shield of California $36,904 -16.7% 2
CARECENTRIX [1011001] $33,549 -24.3% 1
Anthem Blue Cross CA $32,407 -26.9% 3
ANTHEM BLUE CROSS HMO [1002103] $29,559 -33.3% 1
BLUE SHIELD HMO [1006103] $25,228 -43.1% 3
BLUE SHIELD-NETWORK [1006026] $25,228 -43.1% 3
AETNA HMO [1001103] $14,036 -68.3% 1
DONOR NETWORK WEST [1008103] $4,000 -91.0% 1
JMPN UNITED HEALTHCARE [1640000002] $1,190 -97.3% 1
JMPN CANOPY HN [1640000011] $1,190 -97.3% 1
CONTRA COSTA COUNTY JAIL [1012104] $895 -98.0% 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.