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 J3357 · WALNUT CREEK, CA

J3357 — Ustekinumab 90 Mg/ml Subcutaneous Syringe

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.

$256,857 All-payer median here
$290,908 Cash / self-pay here
45 payer/plan-name variants
← This hospital National rates for J3357 →
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
   
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $646,463 151.7% 1
GALAXY HEALTH NETWORK [1064104] $581,817 126.5% 1
INTEGRATED HEALTH PLAN [1075104] $581,817 126.5% 1
HEALTH MANAGEMENT NETWORK [1066104] $549,493 113.9% 1
HUMANA PPO [1030104] $536,564 108.9% 1
FIRST HEALTH [1016104] $533,332 107.6% 2
Kaiser Permanente $523,635 103.9% 1
NETWORKS BY DESIGN [1084104] $517,170 101.3% 1
PPONEXT [1072104] $517,170 101.3% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $517,170 101.3% 1
SUTTER HEALTH PLUS $517,170 101.3% 1
HEALTHSMART - PKA INTERPLAN [1031104] $517,170 101.3% 1
FEDERAL CORRECTION INSTITUTE [1062104] $517,170 101.3% 1
WESTERN HEALTH ADVANTAGE $484,847 88.8% 2
HEALTH NET PPO [1028104] $469,526 82.8% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $387,878 51.0% 1
HEALTH NET HMO [1028103] $368,872 43.6% 2
Health Net $368,872 43.6% 1
Three Rivers Provider Network $355,555 38.4% 1
FORTIFIED PROVIDER NETWORK [1063104] $355,555 38.4% 1
MEDIGAP [1036001] $355,555 38.4% 1
Carelon Behavioral Health $355,555 38.4% 1
HEALTHCOMP [1089104] $332,438 29.4% 2
APS HEALTHCARE [1003103] $290,908 13.3% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $258,585 0.7% 1
CARECENTRIX [1011001] $258,585 0.7% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $226,262 -11.9% 1
CANOPY HN HMO [1166103] $193,939 -24.5% 1
Cigna Healthcare $130,090 -49.4% 2
CIGNA PPO [1010104] $130,090 -49.4% 1
EMPIRE PLAN [1092104] $115,383 -55.1% 1
BRMS [1091104] $115,383 -55.1% 1
DELTA HEALTH SYSTEMS [1032104] $115,383 -55.1% 1
BLUE CROSS BLUE SHIELD [1007204] $115,383 -55.1% 1
Anthem Blue Cross CA $107,722 -58.1% 4
ANTHEM BLUE CROSS HMO [1002103] $81,853 -68.1% 1
UMR (UnitedHealthcare TPA) $50,496 -80.3% 1
BLUE SHIELD-NETWORK [1006026] $36,694 -85.7% 3
Blue Shield of California $36,694 -85.7% 2
BLUE SHIELD HMO [1006103] $36,694 -85.7% 3
United Behavioral Health (Optum) $35,215 -86.3% 1
UnitedHealthcare $35,215 -86.3% 6
JMPN CANOPY HN [1640000011] $30,439 -88.1% 1
JMPN UNITED HEALTHCARE [1640000002] $30,439 -88.1% 1
CONTRA COSTA COUNTY JAIL [1012104] $14,431 -94.4% 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.