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 64568 · WALNUT CREEK, CA

64568 — Opn Impltj Crnl Nrv Nea&pg

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.

$62,197 All-payer median here
$168,714 Cash / self-pay here
55 payer/plan-name variants
← This hospital National rates for 64568 →
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] $113,820 83.0% 2
UnitedHealthcare $83,076 33.6% 12
UMR (UnitedHealthcare TPA) $80,772 29.9% 2
GENERIC HMO [1018103] $77,746 25.0% 2
GENERIC PPO [1021104] $77,746 25.0% 2
GENERIC COMMERCIAL/INDEMNITY [1017001] $77,746 25.0% 2
United Behavioral Health (Optum) $73,788 18.6% 4
BLUE SHIELD MEDICARE [1006113] $62,197 0.0% 4
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $62,197 0.0% 2
AETNA MEDICARE [1001113] $62,197 0.0% 2
Alignment Healthcare USA, LLC $62,197 0.0% 2
ALT MEDICARE [1038004] $62,197 0.0% 2
ALT MEDICARE A/B REBILL [1038003] $62,197 0.0% 2
ANTHEM BLUE CROSS MEDICARE [1002113] $62,197 0.0% 2
BLUE CROSS BLUE SHIELD MCARE [1007127] $62,197 0.0% 2
BLUE SHIELD-NETWORK MCARE [1006127] $62,197 0.0% 2
CARE 1ST HEALTH PLAN [1094113] $62,197 0.0% 2
CAREMORE [1171113] $62,197 0.0% 2
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $62,197 0.0% 2
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $62,197 0.0% 2
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $62,197 0.0% 2
EASY CHOICE HEALTH PLAN OF CALIFORNIA $62,197 0.0% 4
ESSENCE HEALTHCARE [1049028] $62,197 0.0% 2
ESSENCE HEALTHCARE [1049128] $62,197 0.0% 2
HEALTH NET MEDICARE [1028113] $62,197 0.0% 4
HOSPICE OF EAST BAY [1085104] $62,197 0.0% 2
Humana $62,197 0.0% 6
JOHN MUIR MEDICARE [1039113] $62,197 0.0% 2
KAISER MEDICARE [1033113] $62,197 0.0% 2
Medicare (Generic) $62,197 0.0% 6
MEDICARE [1038002] $62,197 0.0% 4
SCAN Health Plan - California $62,197 0.0% 6
UNITED HEALTHCARE MEDICARE [1049113] $62,197 0.0% 4
VETERANS ADMINISTRATION [1051113] $62,197 0.0% 2
Health Net $60,953 -2.0% 2
GOLDEN STATE-NETWORK MCARE [1023127] $55,977 -10.0% 2
WORKERS' COMP [1024005] $52,764 -15.2% 2
TRICARE $43,442 -30.2% 2
HEALTHCOMP [1089104] $27,479 -55.8% 2
BRMS [1091104] $27,479 -55.8% 2
BLUE CROSS BLUE SHIELD [1007204] $27,479 -55.8% 2
DELTA HEALTH SYSTEMS [1032104] $27,479 -55.8% 2
EMPIRE PLAN [1092104] $27,479 -55.8% 2
Anthem Blue Cross CA $21,159 -66.0% 6
ANTHEM BLUE CROSS HMO [1002103] $19,298 -69.0% 2
Blue Shield of California $13,436 -78.4% 4
AETNA LIFE [1001001] $12,599 -79.7% 2
BLUE SHIELD-NETWORK [1006026] $11,180 -82.0% 4
BLUE SHIELD HMO [1006103] $11,180 -82.0% 4
Aetna $11,145 -82.1% 4
AETNA HMO [1001103] $9,691 -84.4% 2
DONOR NETWORK WEST [1008103] $4,000 -93.6% 2
JMPN CANOPY HN [1640000011] $815 -98.7% 2
JMPN UNITED HEALTHCARE [1640000002] $815 -98.7% 2
CONTRA COSTA COUNTY JAIL [1012104] $550 -99.1% 2

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.