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 33263 · CONCORD, CA

33263 — Rmvl & Rplcmt Dfb Gen 2 Lead

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.

$31,410 All-payer median here
$38,188 Cash / self-pay here
80 payer/plan-name variants
← This hospital National rates for 33263 →
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 $80,772 157.2% 7
UMR (UnitedHealthcare TPA) $80,772 157.2% 1
GALAXY HEALTH NETWORK [1064104] $76,377 143.2% 1
INTEGRATED HEALTH PLAN [1075104] $76,377 143.2% 1
HEALTH MANAGEMENT NETWORK [1066104] $72,134 129.7% 1
HUMANA PPO [1030104] $70,436 124.3% 1
FIRST HEALTH [1016104] $70,012 122.9% 2
SUTTER HEALTH PLUS $67,891 116.1% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $67,891 116.1% 1
FEDERAL CORRECTION INSTITUTE [1062104] $67,891 116.1% 1
PPONEXT [1072104] $67,891 116.1% 1
NETWORKS BY DESIGN [1084104] $67,891 116.1% 1
HEALTHSMART - PKA INTERPLAN [1031104] $67,891 116.1% 1
WESTERN HEALTH ADVANTAGE $65,769 109.4% 2
AETNA LIFE [1001001] $62,799 99.9% 1
Kaiser Permanente $62,799 99.9% 1
HEALTH NET PPO [1028104] $61,636 96.2% 1
CIGNA PPO [1010104] $60,754 93.4% 1
United Behavioral Health (Optum) $58,395 85.9% 2
CANOPY HN HMO [1166103] $57,480 83.0% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $50,918 62.1% 1
HEALTH NET HMO [1028103] $48,423 54.2% 2
Three Rivers Provider Network $46,675 48.6% 1
MEDIGAP [1036001] $46,675 48.6% 1
FORTIFIED PROVIDER NETWORK [1063104] $46,675 48.6% 1
Carelon Behavioral Health $46,675 48.6% 1
Cigna Healthcare $43,085 37.2% 2
HEALTHCOMP [1089104] $41,924 33.5% 2
WORKERS' COMP [1024005] $41,287 31.4% 1
Health Net $39,602 26.1% 2
GENERIC HMO [1018103] $39,262 25.0% 1
GENERIC PPO [1021104] $39,262 25.0% 1
APS HEALTHCARE [1003103] $38,188 21.6% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $36,604 16.5% 2
Aetna $36,412 15.9% 2
CARECENTRIX [1011001] $33,945 8.1% 1
TRICARE $33,764 7.5% 1
Blue Shield of California $33,005 5.1% 2
GOLDEN STATE-NETWORK MCARE [1023127] $31,410 0.0% 1
BLUE SHIELD-NETWORK MCARE [1006127] $31,410 0.0% 1
ALT MEDICARE [1038004] $31,410 0.0% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $31,410 0.0% 1
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $31,410 0.0% 1
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $31,410 0.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $31,410 0.0% 2
ESSENCE HEALTHCARE [1049028] $31,410 0.0% 1
ESSENCE HEALTHCARE [1049128] $31,410 0.0% 1
CAREMORE [1171113] $31,410 0.0% 1
CARE 1ST HEALTH PLAN [1094113] $31,410 0.0% 1
Humana $31,410 0.0% 3
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $31,410 0.0% 1
BLUE CROSS BLUE SHIELD MCARE [1007127] $31,410 0.0% 1
JOHN MUIR MEDICARE [1039113] $31,410 0.0% 1
KAISER MEDICARE [1033113] $31,410 0.0% 1
Medicare (Generic) $31,410 0.0% 3
MEDICARE [1038002] $31,410 0.0% 2
ANTHEM BLUE CROSS MEDICARE [1002113] $31,410 0.0% 1
SCAN Health Plan - California $31,410 0.0% 3
ALT MEDICARE A/B REBILL [1038003] $31,410 0.0% 1
UNITED HEALTHCARE MEDICARE [1049113] $31,410 0.0% 2
Alignment Healthcare USA, LLC $31,410 0.0% 1
VETERANS ADMINISTRATION [1051113] $31,410 0.0% 1
AETNA MEDICARE [1001113] $31,410 0.0% 1
HEALTH NET MEDICARE [1028113] $31,410 0.0% 2
BLUE SHIELD MEDICARE [1006113] $31,410 0.0% 2
HOSPICE OF EAST BAY [1085104] $31,410 0.0% 1
BLUE SHIELD-NETWORK [1006026] $27,025 -14.0% 3
BLUE SHIELD HMO [1006103] $27,025 -14.0% 3
DELTA HEALTH SYSTEMS [1032104] $11,715 -62.7% 1
BLUE CROSS BLUE SHIELD [1007104] $11,715 -62.7% 1
EMPIRE PLAN [1092104] $11,715 -62.7% 1
BLUE CROSS BLUE SHIELD [1007204] $11,715 -62.7% 1
BRMS [1091104] $11,715 -62.7% 1
Anthem Blue Cross CA $10,368 -67.0% 4
AETNA HMO [1001103] $10,026 -68.1% 1
ANTHEM BLUE CROSS HMO [1002103] $8,228 -73.8% 1
DONOR NETWORK WEST [1008103] $4,000 -87.3% 1
JMPN UNITED HEALTHCARE [1640000002] $508 -98.4% 1
JMPN CANOPY HN [1640000011] $508 -98.4% 1
CONTRA COSTA COUNTY JAIL [1012104] $313 -99.0% 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.