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 37227 · WALNUT CREEK, CA

37227 — Fem/popl Revasc Stnt & Ather

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.

$42,727 All-payer median here
$31,011 Cash / self-pay here
44 payer/plan-name variants
← This hospital National rates for 37227 →
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
   
GALAXY HEALTH NETWORK [1064104] $62,022 45.2% 1
INTEGRATED HEALTH PLAN [1075104] $62,022 45.2% 1
HEALTHCOMP [1089104] $58,577 37.1% 1
HEALTH MANAGEMENT NETWORK [1066104] $58,577 37.1% 1
HUMANA PPO [1030104] $57,198 33.9% 1
FIRST HEALTH [1016104] $56,854 33.1% 2
Kaiser Permanente $55,820 30.6% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $55,131 29.0% 1
FEDERAL CORRECTION INSTITUTE [1062104] $55,131 29.0% 1
HEALTHSMART - PKA INTERPLAN [1031104] $55,131 29.0% 1
NETWORKS BY DESIGN [1084104] $55,131 29.0% 1
PPONEXT [1072104] $55,131 29.0% 1
SUTTER HEALTH PLUS $55,131 29.0% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $55,131 29.0% 1
WESTERN HEALTH ADVANTAGE $51,685 21.0% 2
AETNA LIFE [1001001] $50,996 19.4% 1
HEALTH NET PPO [1028104] $50,052 17.1% 1
Aetna $48,791 14.2% 2
Blue Shield of California $48,274 13.0% 2
AETNA HMO [1001103] $46,586 9.0% 1
BLUE SHIELD HMO [1006103] $43,760 2.4% 3
BLUE SHIELD-NETWORK [1006026] $43,760 2.4% 3
CONTRA COSTA HEALTH PLAN HMO [1013103] $41,348 -3.2% 1
UMR (UnitedHealthcare TPA) $40,301 -5.7% 1
HEALTH NET HMO [1028103] $39,322 -8.0% 2
Health Net $39,322 -8.0% 1
Carelon Behavioral Health $37,903 -11.3% 1
MEDIGAP [1036001] $37,903 -11.3% 1
FORTIFIED PROVIDER NETWORK [1063104] $37,903 -11.3% 1
Three Rivers Provider Network $37,903 -11.3% 1
United Behavioral Health (Optum) $34,650 -18.9% 1
UnitedHealthcare $34,650 -18.9% 6
Anthem Blue Cross CA $32,407 -24.2% 3
APS HEALTHCARE [1003103] $31,011 -27.4% 1
ANTHEM BLUE CROSS HMO [1002103] $29,559 -30.8% 1
CARECENTRIX [1011001] $27,566 -35.5% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $27,566 -35.5% 1
TRICARE $25,418 -40.5% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $24,120 -43.5% 1
CANOPY HN HMO [1166103] $20,674 -51.6% 1
DONOR NETWORK WEST [1008103] $4,000 -90.6% 1
JMPN CANOPY HN [1640000011] $902 -97.9% 1
JMPN UNITED HEALTHCARE [1640000002] $902 -97.9% 1
CONTRA COSTA COUNTY JAIL [1012104] $633 -98.5% 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.