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 216 · DALY CITY, CA

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 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.

$107,538 All-payer median here
32 payer/plan-name variants
← This hospital National rates for 216 →
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 $178,260 65.8% 2
Corvel Healthcare $170,648 58.7% 1
Athens Administrators $170,648 58.7% 1
Work Comp Other $170,648 58.7% 1
MultiPlan $170,648 58.7% 1
US Department of Labor (OWCP) $147,481 37.1% 1
Knox-Keene Act $137,123 27.5% 1
BRAND NEW DAY (FFS) $126,632 17.8% 2
Central Health Plan $116,141 8.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $110,796 3.0% 1
Kaiser Permanente $109,699 2.0% 1
Covid-19 Uninsured Program $109,699 2.0% 1
For Your Benefit $107,538 0.0% 1
Anthem (Elevance Health) $107,538 0.0% 1
BROWN & TOLAND SUTTER SELECT $107,538 0.0% 1
Care Advantage $107,538 0.0% 1
Chinese Community Health Plan $107,538 0.0% 1
Health Net $107,538 0.0% 1
Humana $107,538 0.0% 1
Imperial Health Plan of California $107,538 0.0% 1
Jade Health Care Mg $107,538 0.0% 1
Medicare (Generic) $107,538 0.0% 1
North East Medical Services $107,538 0.0% 3
Pacificare $107,538 0.0% 1
San Mateo County/San Mateo County General Hospital $107,538 0.0% 1
UnitedHealthcare $94,610 -12.0% 3
Blue Shield of California $94,539 -12.1% 4
VA / CHAMPVA $76,789 -28.6% 1
Cigna Healthcare $66,780 -37.9% 2
Aetna $61,107 -43.2% 2
Healthcare Foundation Of San Mateo $37,729 -64.9% 2
TRICARE $20,207 -81.2% 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.