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 · CPT 64568 · LA JOLLA, CA

64568 — Opn Impltj Crnl Nrv Nea&pg

What each payer pays SCRIPPS MEMORIAL HOSPITAL LA JOLLA (CCN 050324) 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.

$56,651 All-payer median here
$32,609 Cash / self-pay here
82 payer/plan-name variants
← This hospital National rates for 64568 →
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
   
HEALTHSMART [350] $104,348 84.2% 1
CHOICE CARE NETWORK [270] $104,348 84.2% 1
PROSPECT MED GROUP [893] $99,139 75.0% 1
First Health Network $97,827 72.7% 1
Provider Network of America (PNOA) $97,827 72.7% 1
PRIME HEALTHCARE [614] $96,307 70.0% 1
MultiPlan $92,609 63.5% 1
Health Net $73,363 29.5% 8
VILLAGE HEALTH MEDICARE ADVANTAGE [592] $56,651 0.0% 1
Astiva Health $56,651 0.0% 1
BC MCR ADV [830] $56,651 0.0% 1
BLUE CROSS BLUE SHIELD MCR ADV [231] $56,651 0.0% 1
BLUE CROSS MEDICARE ADVANTAGE [222] $56,651 0.0% 1
BLUE SHIELD MEDICARE ADVANTAGE [232] $56,651 0.0% 1
BS MCR ADV [829] $56,651 0.0% 1
FAMILY HEALTH CENTERS PACE MEDI-CAL [555] $56,651 0.0% 1
GARY AND MARY WEST PACE MEDI-CAL HMO [557] $56,651 0.0% 1
Gary and Mary West Senior Services, Inc. $56,651 0.0% 1
GOLDEN STATE MEDICARE HEALTH PLAN [444] $56,651 0.0% 1
GPMG/ALTURA - MCR ADV [888] $56,651 0.0% 1
Humana $56,651 0.0% 2
INLAND EMPIRE HEALTH PLAN $56,651 0.0% 1
INTEGRATED HEALTH PARTNERS - MCR ADV [895] $56,651 0.0% 1
LA CARE MCR ADV HMO [612] $56,651 0.0% 1
MEDICARE ADVANTAGE [442] $56,651 0.0% 1
Molina Healthcare $56,651 0.0% 1
MPMG [800] $56,651 0.0% 1
MPMG MCR ADV [836] $56,651 0.0% 1
OCN MCR ADV [890] $56,651 0.0% 1
OPTUM CARE NETWORK NORTH COUNTY SD [808] $56,651 0.0% 1
OPTUM HEALTH MCR ADV [491] $56,651 0.0% 1
PCAC MEDICARE ADVANTAGE [8001] $56,651 0.0% 1
REGAL MEDICARE ADV [8000] $56,651 0.0% 1
SAN DIEGO PACE MEDI-CAL [553] $56,651 0.0% 1
SAN DIEGO PACE MEDICARE ADVANTAGE HMO [554] $56,651 0.0% 1
SCAN Group $56,651 0.0% 4
SHARP COMM MED GRP MCR ADV [840] $56,651 0.0% 1
SHARP HEALTH PLAN MCR ADV [531] $56,651 0.0% 1
SHARP HEALTH PLAN MCR ADV [897] $56,651 0.0% 1
SHARP REES STEALY MED GRP MCR ADV [841] $56,651 0.0% 1
ST PAUL'S PACE MEDI-CAL [551] $56,651 0.0% 1
ST PAUL'S PACE MEDICARE ADVANTAGE [552] $56,651 0.0% 1
UCSD MCR ADV [873] $56,651 0.0% 1
UH MCR ADV [831] $56,651 0.0% 1
UH PALOMAR HEALTH MCR ADV [885] $56,651 0.0% 1
CENTRAL HEALTH MCR ADV [441] $56,651 0.0% 1
Clever Care Health Plan, Inc. $56,651 0.0% 1
Community Health Group $56,651 0.0% 1
D-SNP MCR ADV [889] $56,651 0.0% 1
DSNP/CSNP - GENERIC [458] $56,651 0.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $56,651 0.0% 1
FAMILY HEALTH CENTERS PACE MCR ADV HMO [556] $56,651 0.0% 1
RADY CHILDREN'S HOSPITAL [825] $53,478 -5.6% 1
Kaiser Permanente $53,174 -6.1% 6
Alignment Healthcare USA, LLC $38,306 -32.4% 2
VEBA MED GRP [813] $26,348 -53.5% 1
PALOMAR HEALTH [892] $26,348 -53.5% 1
Aetna $26,348 -53.5% 3
BS [816] $24,000 -57.6% 2
BLUE SHIELD [230] $24,000 -57.6% 4
CENTIVO [581] $23,478 -58.6% 1
HN [815] $23,217 -59.0% 1
IMPERIAL COUNTY PHYS MED GROUP [855] $23,022 -59.4% 2
UCSD [807] $22,891 -59.6% 6
SHARP REES STEALY MED GRP [811] $22,891 -59.6% 6
SHARP COMM MED GRP [812] $22,891 -59.6% 6
BLUE CROSS [220] $22,565 -60.2% 4
BC [814] $22,565 -60.2% 1
PERLMAN MED GROUP [899] $22,565 -60.2% 1
INTEGRATED HEALTH PARTNERS [894] $22,565 -60.2% 1
BLUE CROSS BLUE SHIELD [233] $22,565 -60.2% 2
UH [819] $22,174 -60.9% 1
UnitedHealthcare $22,174 -60.9% 5
Cigna Healthcare $21,913 -61.3% 5
Blue Shield of California $18,261 -67.8% 1
MC BLUE CROSS [901] $18,261 -67.8% 1
MC BLUE SHIELD [902] $18,261 -67.8% 1
RADYS CPMG [803] $10,435 -81.6% 1
CHG OPTUM CARE NETWORK - SDPMG [805] $673 -98.8% 1
OPTUM CARE NETWORK - SDPMG MCR ADV [837] $673 -98.8% 1
AETNA OPTUM CARE NETWORK - SDPMG [809] $673 -98.8% 1
OPTUM CARE NETWORK - SDPMG [821] $673 -98.8% 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.