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 · HCPCS J0225 · WALNUT CREEK, CA

J0225 — Inj, Vutrisiran, 1 Mg

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.

$327,338 All-payer median here
$502,706 Cash / self-pay here
77 payer/plan-name variants
← This hospital National rates for J0225 →
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
   
DELTA HEALTH SYSTEMS [1032104] $1,366,713 317.5% 1
BLUE CROSS BLUE SHIELD [1007204] $1,366,713 317.5% 1
EMPIRE PLAN [1092104] $1,366,713 317.5% 1
BRMS [1091104] $1,366,713 317.5% 1
JMPN CANOPY HN [1640000011] $1,284,694 292.5% 1
JMPN UNITED HEALTHCARE [1640000002] $1,284,694 292.5% 1
HEALTHCOMP [1089104] $1,158,135 253.8% 2
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $1,117,125 241.3% 1
Anthem Blue Cross CA $1,077,392 229.1% 4
INTEGRATED HEALTH PLAN [1075104] $1,005,413 207.1% 1
GALAXY HEALTH NETWORK [1064104] $1,005,413 207.1% 1
ANTHEM BLUE CROSS HMO [1002103] $969,555 196.2% 1
HEALTH MANAGEMENT NETWORK [1066104] $949,557 190.1% 1
HUMANA PPO [1030104] $927,214 183.3% 1
FIRST HEALTH [1016104] $921,628 181.6% 2
Kaiser Permanente $904,872 176.4% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $893,700 173.0% 1
HEALTHSMART - PKA INTERPLAN [1031104] $893,700 173.0% 1
FEDERAL CORRECTION INSTITUTE [1062104] $893,700 173.0% 1
NETWORKS BY DESIGN [1084104] $893,700 173.0% 1
PPONEXT [1072104] $893,700 173.0% 1
SUTTER HEALTH PLUS $893,700 173.0% 1
WESTERN HEALTH ADVANTAGE $837,844 156.0% 2
HEALTH NET PPO [1028104] $811,368 147.9% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $670,275 104.8% 1
HEALTH NET HMO [1028103] $637,432 94.7% 2
Cigna Healthcare $625,455 91.1% 2
CIGNA PPO [1010104] $625,455 91.1% 1
Carelon Behavioral Health $614,419 87.7% 1
Three Rivers Provider Network $614,419 87.7% 1
MEDIGAP [1036001] $614,419 87.7% 1
FORTIFIED PROVIDER NETWORK [1063104] $614,419 87.7% 1
APS HEALTHCARE [1003103] $502,706 53.6% 1
UMR (UnitedHealthcare TPA) $469,390 43.4% 1
CARECENTRIX [1011001] $446,850 36.5% 1
AETNA HMO [1001103] $410,533 25.4% 1
Aetna $410,533 25.4% 2
AETNA LIFE [1001001] $410,533 25.4% 1
UnitedHealthcare $327,338 0.0% 7
Health Net $321,168 -1.9% 2
GENERIC COMMERCIAL/INDEMNITY [1017001] $226,552 -30.8% 2
United Behavioral Health (Optum) $166,171 -49.2% 2
BLUE SHIELD-NETWORK [1006026] $143,221 -56.2% 3
BLUE SHIELD HMO [1006103] $143,221 -56.2% 3
Blue Shield of California $143,221 -56.2% 2
WORKERS' COMP [1024005] $125,239 -61.7% 1
CANOPY HN HMO [1166103] $9,157 -97.2% 1
GENERIC PPO [1021104] $6,255 -98.1% 1
GENERIC HMO [1018103] $6,255 -98.1% 1
HEALTH NET MEDICARE [1028113] $5,004 -98.5% 2
AETNA MEDICARE [1001113] $5,004 -98.5% 1
Alignment Healthcare USA, LLC $5,004 -98.5% 1
ALT MEDICARE [1038004] $5,004 -98.5% 1
ALT MEDICARE A/B REBILL [1038003] $5,004 -98.5% 1
ANTHEM BLUE CROSS MEDICARE [1002113] $5,004 -98.5% 1
BLUE CROSS BLUE SHIELD MCARE [1007127] $5,004 -98.5% 1
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $5,004 -98.5% 1
BLUE SHIELD MEDICARE [1006113] $5,004 -98.5% 2
BLUE SHIELD-NETWORK MCARE [1006127] $5,004 -98.5% 1
CARE 1ST HEALTH PLAN [1094113] $5,004 -98.5% 1
CAREMORE [1171113] $5,004 -98.5% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $5,004 -98.5% 1
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $5,004 -98.5% 1
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $5,004 -98.5% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $5,004 -98.5% 2
ESSENCE HEALTHCARE [1049028] $5,004 -98.5% 1
ESSENCE HEALTHCARE [1049128] $5,004 -98.5% 1
HOSPICE OF EAST BAY [1085104] $5,004 -98.5% 1
Humana $5,004 -98.5% 3
JOHN MUIR MEDICARE [1039113] $5,004 -98.5% 1
KAISER MEDICARE [1033113] $5,004 -98.5% 1
Medicare (Generic) $5,004 -98.5% 3
MEDICARE [1038002] $5,004 -98.5% 2
SCAN Health Plan - California $5,004 -98.5% 3
UNITED HEALTHCARE MEDICARE [1049113] $5,004 -98.5% 2
VETERANS ADMINISTRATION [1051113] $5,004 -98.5% 1
GOLDEN STATE-NETWORK MCARE [1023127] $4,503 -98.6% 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.