Payer comparison · OTHER 215 · DALY CITY, CA

215 — Other Heart Assist System Implant

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.

$117,985 All-payer median here

31 payer/plan-name variants

← This hospital National rates for 215 →

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	$195,583	65.8%	2
Athens Administrators	$187,334	58.8%	1
MultiPlan	$187,334	58.8%	1
Corvel Healthcare	$187,334	58.8%	1
Work Comp Other	$187,334	58.8%	1
US Department of Labor (OWCP)	$161,694	37.0%	1
Knox-Keene Act	$150,448	27.5%	1
BRAND NEW DAY (FFS)	$138,936	17.8%	2
Central Health Plan	$127,424	8.0%	1
EASY CHOICE HEALTH PLAN OF CALIFORNIA	$121,562	3.0%	1
Kaiser Permanente	$120,359	2.0%	1
Covid-19 Uninsured Program	$120,359	2.0%	1
Health Net	$117,985	0.0%	1
Anthem (Elevance Health)	$117,985	0.0%	1
BROWN & TOLAND SUTTER SELECT	$117,985	0.0%	1
Care Advantage	$117,985	0.0%	1
Chinese Community Health Plan	$117,985	0.0%	1
For Your Benefit	$117,985	0.0%	1
Humana	$117,985	0.0%	1
Imperial Health Plan of California	$117,985	0.0%	1
Jade Health Care Mg	$117,985	0.0%	1
Medicare (Generic)	$117,985	0.0%	1
North East Medical Services	$117,985	0.0%	3
Pacificare	$117,985	0.0%	1
UnitedHealthcare	$114,831	-2.7%	3
Blue Shield of California	$99,762	-15.4%	4
VA / CHAMPVA	$84,251	-28.6%	1
Cigna Healthcare	$66,780	-43.4%	2
Aetna	$66,330	-43.8%	2
TRICARE	$38,402	-67.5%	1
Healthcare Foundation Of San Mateo	$37,729	-68.0%	2

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.