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 0646T · CONCORD, CA

0646T — Ttvi/rplcmt W/prstc Vlv Perq

What each payer pays JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS (CCN 050496) 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.

$111,098 All-payer median here
$73,956 Cash / self-pay here
47 payer/plan-name variants
← This hospital National rates for 0646T →
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
   
JMPN CANOPY HN [1640000011] $188,998 70.1% 1
JMPN UNITED HEALTHCARE [1640000002] $188,998 70.1% 1
INTEGRATED HEALTH PLAN [1075104] $147,911 33.1% 1
GALAXY HEALTH NETWORK [1064104] $147,911 33.1% 1
BLUE CROSS BLUE SHIELD [1007104] $147,188 32.5% 1
ANTHEM BLUE CROSS HMO [1002103] $147,188 32.5% 1
HEALTH MANAGEMENT NETWORK [1066104] $139,694 25.7% 1
HUMANA PPO [1030104] $136,407 22.8% 1
FIRST HEALTH [1016104] $135,585 22.0% 2
HEALTHSMART - PKA INTERPLAN [1031104] $131,477 18.3% 1
SUTTER HEALTH PLUS $131,477 18.3% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $131,477 18.3% 1
PPONEXT [1072104] $131,477 18.3% 1
NETWORKS BY DESIGN [1084104] $131,477 18.3% 1
FEDERAL CORRECTION INSTITUTE [1062104] $131,477 18.3% 1
WESTERN HEALTH ADVANTAGE $127,368 14.6% 2
HEALTHCOMP [1089104] $126,514 13.9% 2
Kaiser Permanente $121,616 9.5% 1
HEALTH NET PPO [1028104] $119,364 7.4% 1
AETNA LIFE [1001001] $118,822 7.0% 1
CIGNA PPO [1010104] $117,655 5.9% 1
Aetna $114,960 3.5% 2
BRMS [1091104] $113,333 2.0% 1
BLUE CROSS BLUE SHIELD [1007204] $113,333 2.0% 1
Anthem Blue Cross CA $113,333 2.0% 4
DELTA HEALTH SYSTEMS [1032104] $113,333 2.0% 1
EMPIRE PLAN [1092104] $113,333 2.0% 1
AETNA HMO [1001103] $111,098 0.0% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $98,608 -11.2% 1
UMR (UnitedHealthcare TPA) $96,110 -13.5% 1
HEALTH NET HMO [1028103] $93,776 -15.6% 2
Health Net $93,776 -15.6% 1
MEDIGAP [1036001] $90,390 -18.6% 1
Three Rivers Provider Network $90,390 -18.6% 1
FORTIFIED PROVIDER NETWORK [1063104] $90,390 -18.6% 1
Carelon Behavioral Health $90,390 -18.6% 1
Cigna Healthcare $83,438 -24.9% 2
UnitedHealthcare $82,633 -25.6% 6
United Behavioral Health (Optum) $82,633 -25.6% 1
APS HEALTHCARE [1003103] $73,956 -33.4% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $65,738 -40.8% 1
CARECENTRIX [1011001] $65,738 -40.8% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $57,521 -48.2% 1
CANOPY HN HMO [1166103] $49,304 -55.6% 1
Blue Shield of California $3,100 -97.2% 2
BLUE SHIELD-NETWORK [1006026] $2,671 -97.6% 3
BLUE SHIELD HMO [1006103] $2,671 -97.6% 3

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.