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 212 · DALY CITY, CA

212 — Hip & Femur Procedures Except Major Joint Age 0-17

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.

$121,296 All-payer median here
29 payer/plan-name variants
← This hospital National rates for 212 →
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 $201,073 65.8% 2
Athens Administrators $192,622 58.8% 1
Corvel Healthcare $192,622 58.8% 1
MultiPlan $192,622 58.8% 1
Work Comp Other $192,622 58.8% 1
US Department of Labor (OWCP) $166,198 37.0% 1
Knox-Keene Act $154,671 27.5% 1
BRAND NEW DAY (FFS) $142,835 17.8% 2
Blue Shield of California $135,082 11.4% 2
Central Health Plan $131,000 8.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $124,974 3.0% 1
Covid-19 Uninsured Program $123,737 2.0% 1
UnitedHealthcare $123,737 2.0% 1
Kaiser Permanente $123,737 2.0% 1
Health Net $121,296 0.0% 1
Anthem (Elevance Health) $121,296 0.0% 1
BROWN & TOLAND SUTTER SELECT $121,296 0.0% 1
Care Advantage $121,296 0.0% 1
Chinese Community Health Plan $121,296 0.0% 1
For Your Benefit $121,296 0.0% 1
Aetna $121,296 0.0% 1
Humana $121,296 0.0% 1
Imperial Health Plan of California $121,296 0.0% 1
Jade Health Care Mg $121,296 0.0% 1
Medicare (Generic) $121,296 0.0% 1
North East Medical Services $121,296 0.0% 3
Pacificare $121,296 0.0% 1
VA / CHAMPVA $86,616 -28.6% 1
TRICARE $21,704 -82.1% 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.