Payer comparison · OTHER 453 · DALY CITY, CA

453 — Combined Anterior And Posterior Spinal Fusion 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.

$98,796 All-payer median here

31 payer/plan-name variants

← This hospital National rates for 453 →

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	$163,765	65.8%	2
Corvel Healthcare	$156,684	58.6%	1
Athens Administrators	$156,684	58.6%	1
Work Comp Other	$156,684	58.6%	1
MultiPlan	$156,684	58.6%	1
US Department of Labor (OWCP)	$135,587	37.2%	1
Knox-Keene Act	$125,973	27.5%	1
BRAND NEW DAY (FFS)	$116,337	17.8%	2
Central Health Plan	$106,700	8.0%	1
EASY CHOICE HEALTH PLAN OF CALIFORNIA	$101,786	3.0%	1
Covid-19 Uninsured Program	$100,779	2.0%	1
Kaiser Permanente	$100,779	2.0%	1
For Your Benefit	$98,796	0.0%	1
Anthem (Elevance Health)	$98,796	0.0%	1
BROWN & TOLAND SUTTER SELECT	$98,796	0.0%	1
Care Advantage	$98,796	0.0%	1
Humana	$98,796	0.0%	1
Imperial Health Plan of California	$98,796	0.0%	1
Jade Health Care Mg	$98,796	0.0%	1
Medicare (Generic)	$98,796	0.0%	1
North East Medical Services	$98,796	0.0%	3
Pacificare	$98,796	0.0%	1
UnitedHealthcare	$92,088	-6.8%	3
VA / CHAMPVA	$70,545	-28.6%	1
Blue Shield of California	$66,171	-33.0%	4
Aetna	$65,903	-33.3%	2
Health Net	$63,560	-35.7%	2
Chinese Community Health Plan	$58,578	-40.7%	2
TRICARE	$39,332	-60.2%	1
Cigna Healthcare	$27,288	-72.4%	2
First Health Network	$17,250	-82.5%	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.