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 →

33419 — Repair Tcat Mitral Valve

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.

$51,478 All-payer median here
$36,054 Cash / self-pay here
44 payer/plan-name variants
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
   
INTEGRATED HEALTH PLAN [1075104] $72,109 40.1% 1
GALAXY HEALTH NETWORK [1064104] $72,109 40.1% 1
HEALTH MANAGEMENT NETWORK [1066104] $68,103 32.3% 1
HUMANA PPO [1030104] $66,500 29.2% 1
FIRST HEALTH [1016104] $66,100 28.4% 2
HEALTHCOMP [1089104] $65,707 27.6% 2
Kaiser Permanente $64,898 26.1% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $64,097 24.5% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $64,097 24.5% 1
SUTTER HEALTH PLUS $64,097 24.5% 1
PPONEXT [1072104] $64,097 24.5% 1
NETWORKS BY DESIGN [1084104] $64,097 24.5% 1
HEALTHSMART - PKA INTERPLAN [1031104] $64,097 24.5% 1
FEDERAL CORRECTION INSTITUTE [1062104] $64,097 24.5% 1
BLUE CROSS BLUE SHIELD [1007204] $63,311 23.0% 1
DELTA HEALTH SYSTEMS [1032104] $63,311 23.0% 1
EMPIRE PLAN [1092104] $63,311 23.0% 1
BRMS [1091104] $63,311 23.0% 1
WESTERN HEALTH ADVANTAGE $60,091 16.7% 2
AETNA LIFE [1001001] $59,290 15.2% 1
HEALTH NET PPO [1028104] $58,192 13.0% 1
Aetna $56,726 10.2% 2
Blue Shield of California $56,125 9.0% 2
AETNA HMO [1001103] $54,162 5.2% 1
BLUE SHIELD-NETWORK [1006026] $50,877 -1.2% 3
BLUE SHIELD HMO [1006103] $50,877 -1.2% 3
Anthem Blue Cross CA $50,414 -2.1% 4
CONTRA COSTA HEALTH PLAN HMO [1013103] $48,073 -6.6% 1
UMR (UnitedHealthcare TPA) $46,855 -9.0% 1
Health Net $45,717 -11.2% 1
HEALTH NET HMO [1028103] $45,717 -11.2% 2
ANTHEM BLUE CROSS HMO [1002103] $45,015 -12.6% 1
MEDIGAP [1036001] $44,067 -14.4% 1
FORTIFIED PROVIDER NETWORK [1063104] $44,067 -14.4% 1
Carelon Behavioral Health $44,067 -14.4% 1
Three Rivers Provider Network $44,067 -14.4% 1
United Behavioral Health (Optum) $40,285 -21.7% 1
UnitedHealthcare $40,285 -21.7% 6
APS HEALTHCARE [1003103] $36,054 -30.0% 1
CARECENTRIX [1011001] $32,048 -37.7% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $32,048 -37.7% 1
JMPN CANOPY HN [1640000011] $534 -99.0% 1
JMPN UNITED HEALTHCARE [1640000002] $534 -99.0% 1
CONTRA COSTA COUNTY JAIL [1012104] $373 -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.