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 · OTHER 004 · DALY CITY, CA

004 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

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.

$157,119 All-payer median here
29 payer/plan-name variants
← This hospital National rates for 004 →
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 $260,473 65.8% 2
Athens Administrators $249,842 59.0% 1
Corvel Healthcare $249,842 59.0% 1
MultiPlan $249,842 59.0% 1
Work Comp Other $249,842 59.0% 1
US Department of Labor (OWCP) $214,937 36.8% 1
Knox-Keene Act $200,364 27.5% 1
BRAND NEW DAY (FFS) $185,026 17.8% 2
Blue Shield of California $181,934 15.8% 2
Central Health Plan $169,688 8.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $161,894 3.0% 1
Covid-19 Uninsured Program $160,291 2.0% 1
UnitedHealthcare $160,291 2.0% 1
Kaiser Permanente $160,291 2.0% 1
Health Net $157,119 0.0% 1
Anthem (Elevance Health) $157,119 0.0% 1
BROWN & TOLAND SUTTER SELECT $157,119 0.0% 1
Care Advantage $157,119 0.0% 1
Chinese Community Health Plan $157,119 0.0% 1
For Your Benefit $157,119 0.0% 1
Aetna $157,119 0.0% 1
Humana $157,119 0.0% 1
Imperial Health Plan of California $157,119 0.0% 1
Jade Health Care Mg $157,119 0.0% 1
Medicare (Generic) $157,119 0.0% 1
North East Medical Services $157,119 0.0% 3
Pacificare $157,119 0.0% 1
VA / CHAMPVA $112,204 -28.6% 1
TRICARE $11,433 -92.7% 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.