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 Q9995 · WALNUT CREEK, CA

Q9995 — Inj. Emicizumab-kxwh, 0.5 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.

$142,249 All-payer median here
$99,065 Cash / self-pay here
44 payer/plan-name variants
← This hospital National rates for Q9995 →
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 CANOPY HN [1640000011] $253,165 78.0% 4
JMPN UNITED HEALTHCARE [1640000002] $253,165 78.0% 4
NATIONAL PROVIDER NETWORK/PLANCARE AMERICA [1069104] $220,144 54.8% 4
GALAXY HEALTH NETWORK [1064104] $198,129 39.3% 4
INTEGRATED HEALTH PLAN [1075104] $198,129 39.3% 4
EMPIRE PLAN [1092104] $197,161 38.6% 4
ANTHEM BLUE CROSS HMO [1002103] $197,161 38.6% 4
BLUE CROSS BLUE SHIELD [1007204] $197,161 38.6% 4
BRMS [1091104] $197,161 38.6% 4
DELTA HEALTH SYSTEMS [1032104] $197,161 38.6% 4
HEALTHCOMP [1089104] $190,773 34.1% 8
HEALTH MANAGEMENT NETWORK [1066104] $187,122 31.5% 4
HUMANA PPO [1030104] $182,719 28.5% 4
FIRST HEALTH [1016104] $180,118 26.6% 8
Kaiser Permanente $178,316 25.4% 4
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $176,115 23.8% 4
FEDERAL CORRECTION INSTITUTE [1062104] $176,115 23.8% 4
HEALTHSMART - PKA INTERPLAN [1031104] $176,115 23.8% 4
NETWORKS BY DESIGN [1084104] $176,115 23.8% 4
PPONEXT [1072104] $176,115 23.8% 4
SUTTER HEALTH PLUS $176,115 23.8% 4
Anthem Blue Cross CA $162,754 14.4% 16
WESTERN HEALTH ADVANTAGE $162,106 14.0% 8
HEALTH NET PPO [1028104] $159,890 12.4% 4
AETNA LIFE [1001001] $159,164 11.9% 4
Aetna $152,580 7.3% 8
AETNA HMO [1001103] $148,817 4.6% 4
Blue Shield of California $146,396 2.9% 4
CONTRA COSTA HEALTH PLAN HMO [1013103] $132,086 -7.1% 4
HEALTH NET HMO [1028103] $125,614 -11.7% 8
Health Net $125,614 -11.7% 4
CIGNA PPO [1010104] $121,233 -14.8% 4
FORTIFIED PROVIDER NETWORK [1063104] $121,079 -14.9% 4
Carelon Behavioral Health $121,079 -14.9% 4
MEDIGAP [1036001] $121,079 -14.9% 4
Three Rivers Provider Network $121,079 -14.9% 4
Cigna Healthcare $111,767 -21.4% 8
United Behavioral Health (Optum) $110,688 -22.2% 4
APS HEALTHCARE [1003103] $99,065 -30.4% 4
UnitedHealthcare $95,827 -32.6% 20
GENERIC COMMERCIAL/INDEMNITY [1017001] $88,057 -38.1% 4
CARECENTRIX [1011001] $88,057 -38.1% 4
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $77,050 -45.8% 4
CANOPY HN HMO [1166103] $66,043 -53.6% 4

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.