Payer comparison · OTHER 002 · DALY CITY, CA

002 — Heart Transplant Or Implant Of Heart Assist System Without 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.

$122,688 All-payer median here

27 payer/plan-name variants

← This hospital National rates for 002 →

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	$203,382	65.8%	2
Athens Administrators	$194,847	58.8%	1
Corvel Healthcare	$194,847	58.8%	1
MultiPlan	$194,847	58.8%	1
Work Comp Other	$194,847	58.8%	1
Blue Shield of California	$186,837	52.3%	2
US Department of Labor (OWCP)	$168,093	37.0%	1
Knox-Keene Act	$156,448	27.5%	1
BRAND NEW DAY (FFS)	$144,476	17.8%	2
Central Health Plan	$132,504	8.0%	1
EASY CHOICE HEALTH PLAN OF CALIFORNIA	$126,410	3.0%	1
Covid-19 Uninsured Program	$125,158	2.0%	1
Kaiser Permanente	$125,158	2.0%	1
For Your Benefit	$122,688	0.0%	1
Anthem (Elevance Health)	$122,688	0.0%	1
BROWN & TOLAND SUTTER SELECT	$122,688	0.0%	1
Care Advantage	$122,688	0.0%	1
Chinese Community Health Plan	$122,688	0.0%	1
Aetna	$122,688	0.0%	1
Health Net	$122,688	0.0%	1
Humana	$122,688	0.0%	1
Imperial Health Plan of California	$122,688	0.0%	1
Jade Health Care Mg	$122,688	0.0%	1
Medicare (Generic)	$122,688	0.0%	1
North East Medical Services	$122,688	0.0%	3
Pacificare	$122,688	0.0%	1
VA / CHAMPVA	$87,611	-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.