Price Transparencybeta 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 11422 · DOWNEY, CA

11422 — Exc H-f-nk-sp B9+marg 1.1-2

What each payer pays PIH HEALTH DOWNEY HOSPITAL (CCN 050393) 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.

$1,767 All-payer median here
$2,078 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 11422 →
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
   
UnitedHealthcare $5,194 194.0% 1
Anthem Blue Cross CA $4,630 162.1% 2
Blue Shield of California $4,342 145.7% 1
Blue Cross Blue Shield Association $4,115 132.9% 1
Blue Cross National $2,952 67.1% 1
Kaiser Healthpledge Sr $1,767 0.0% 1
Anthem (Elevance Health) $1,767 0.0% 1
Medicare Part B $1,767 0.0% 1
Medi-Cal $1,385 -21.6% 1
Medicare Parts A And B $1,385 -21.6% 1
Health Net $146 -91.7% 2
Local Initiative Health Authority for LA County $146 -91.7% 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.