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 · HCPCS C1825 · LA JOLLA, CA

C1825 — Gen, Neuro, Carot Sinus Baro

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.

$67,620 All-payer median here
$50,312 Cash / self-pay here
37 payer/plan-name variants
← This hospital National rates for C1825 →
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
   
CHOICE CARE NETWORK [270] $161,000 138.1% 1
HEALTHSMART [350] $161,000 138.1% 1
Provider Network of America (PNOA) $150,938 123.2% 1
First Health Network $150,938 123.2% 1
MultiPlan $142,888 111.3% 1
Aetna $96,399 42.6% 2
VEBA MED GRP [813] $91,368 35.1% 1
PALOMAR HEALTH [892] $91,368 35.1% 1
RADY CHILDREN'S HOSPITAL [825] $82,512 22.0% 1
Cigna Healthcare $71,544 5.8% 4
UnitedHealthcare $70,438 4.2% 3
UH [819] $70,438 4.2% 1
BS [816] $70,035 3.6% 2
BLUE SHIELD [230] $70,035 3.6% 4
SHARP COMM MED GRP [812] $69,532 2.8% 6
SHARP REES STEALY MED GRP [811] $69,532 2.8% 6
UCSD [807] $69,532 2.8% 6
HN [815] $67,620 0.0% 1
CHG OPTUM CARE NETWORK - SDPMG [805] $60,375 -10.7% 1
OPTUM CARE NETWORK - SDPMG [821] $60,375 -10.7% 1
OPTUM CARE NETWORK - SDPMG MCR ADV [837] $60,375 -10.7% 1
AETNA OPTUM CARE NETWORK - SDPMG [809] $60,375 -10.7% 1
IMPERIAL COUNTY PHYS MED GROUP [855] $56,551 -16.4% 2
Health Net $50,916 -24.7% 2
BLUE CROSS BLUE SHIELD [233] $46,388 -31.4% 2
BLUE CROSS [220] $46,388 -31.4% 4
CENTIVO [581] $46,288 -31.5% 1
BC [814] $44,476 -34.2% 1
INTEGRATED HEALTH PARTNERS [894] $44,476 -34.2% 1
PERLMAN MED GROUP [899] $44,476 -34.2% 1
Kaiser Permanente $36,628 -45.8% 3
Alignment Healthcare USA, LLC $34,212 -49.4% 1
SCAN Group $34,212 -49.4% 1
MC BLUE CROSS [901] $34,212 -49.4% 1
MC BLUE SHIELD [902] $34,212 -49.4% 1
Blue Shield of California $34,212 -49.4% 1
RADYS CPMG [803] $16,100 -76.2% 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.