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 J7196 · WALNUT CREEK, CA

J7196 — Antithrombin Recombinant

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.

$49,384 All-payer median here
$38,947 Cash / self-pay here
40 payer/plan-name variants
← This hospital National rates for J7196 →
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
   
JMPN UNITED HEALTHCARE [1640000002] $99,530 101.5% 1
JMPN CANOPY HN [1640000011] $99,530 101.5% 1
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $86,548 75.3% 1
GALAXY HEALTH NETWORK [1064104] $77,893 57.7% 1
INTEGRATED HEALTH PLAN [1075104] $77,893 57.7% 1
HEALTH MANAGEMENT NETWORK [1066104] $73,566 49.0% 1
HUMANA PPO [1030104] $71,835 45.5% 1
FIRST HEALTH [1016104] $71,402 44.6% 2
Kaiser Permanente $70,104 42.0% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $69,238 40.2% 1
FEDERAL CORRECTION INSTITUTE [1062104] $69,238 40.2% 1
HEALTHSMART - PKA INTERPLAN [1031104] $69,238 40.2% 1
NETWORKS BY DESIGN [1084104] $69,238 40.2% 1
PPONEXT [1072104] $69,238 40.2% 1
SUTTER HEALTH PLUS $69,238 40.2% 1
WESTERN HEALTH ADVANTAGE $64,911 31.4% 2
HEALTH NET PPO [1028104] $62,860 27.3% 1
Blue Shield of California $57,554 16.5% 1
HEALTHCOMP [1089104] $56,904 15.2% 2
CONTRA COSTA HEALTH PLAN HMO [1013103] $51,929 5.2% 1
HEALTH NET HMO [1028103] $49,384 0.0% 2
Health Net $49,384 0.0% 1
Three Rivers Provider Network $47,601 -3.6% 1
FORTIFIED PROVIDER NETWORK [1063104] $47,601 -3.6% 1
Carelon Behavioral Health $47,601 -3.6% 1
MEDIGAP [1036001] $47,601 -3.6% 1
EMPIRE PLAN [1092104] $40,242 -18.5% 1
BRMS [1091104] $40,242 -18.5% 1
BLUE CROSS BLUE SHIELD [1007204] $40,242 -18.5% 1
DELTA HEALTH SYSTEMS [1032104] $40,242 -18.5% 1
APS HEALTHCARE [1003103] $38,947 -21.1% 1
Anthem Blue Cross CA $37,570 -23.9% 4
GENERIC COMMERCIAL/INDEMNITY [1017001] $34,619 -29.9% 1
CARECENTRIX [1011001] $34,619 -29.9% 1
UnitedHealthcare $33,356 -32.5% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $30,292 -38.7% 1
ANTHEM BLUE CROSS HMO [1002103] $28,548 -42.2% 1
CANOPY HN HMO [1166103] $25,964 -47.4% 1
CIGNA PPO [1010104] $25,079 -49.2% 1
Cigna Healthcare $25,079 -49.2% 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.