Payer comparison · OTHER 001 · DALY CITY, CA

001 — Heart Transplant Or Implant Of Heart Assist System With Mcc

What each payer pays AHMC SETON MEDICAL CENTER (CCN 050289) 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.

$312,520 All-payer median here

27 payer/plan-name variants

← This hospital National rates for 001 →

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 Health	$518,154	65.8%	2
Athens Administrators	$498,062	59.4%	1
Corvel Healthcare	$498,062	59.4%	1
MultiPlan	$498,062	59.4%	1
Work Comp Other	$498,062	59.4%	1
US Department of Labor (OWCP)	$426,367	36.4%	1
Blue Shield of California	$403,722	29.2%	2
Knox-Keene Act	$398,580	27.5%	1
BRAND NEW DAY (FFS)	$368,051	17.8%	2
Central Health Plan	$337,522	8.0%	1
EASY CHOICE HEALTH PLAN OF CALIFORNIA	$322,053	3.1%	1
Covid-19 Uninsured Program	$318,864	2.0%	1
Kaiser Permanente	$318,864	2.0%	1
For Your Benefit	$312,520	0.0%	1
Anthem (Elevance Health)	$312,520	0.0%	1
BROWN & TOLAND SUTTER SELECT	$312,520	0.0%	1
Care Advantage	$312,520	0.0%	1
Chinese Community Health Plan	$312,520	0.0%	1
Aetna	$312,520	0.0%	1
Health Net	$312,520	0.0%	1
Humana	$312,520	0.0%	1
Imperial Health Plan of California	$312,520	0.0%	1
Jade Health Care Mg	$312,520	0.0%	1
Medicare (Generic)	$312,520	0.0%	1
North East Medical Services	$312,520	0.0%	3
Pacificare	$312,520	0.0%	1
VA / CHAMPVA	$223,205	-28.6%	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.