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 37231 · CONCORD, CA

37231 — Tib/per Revasc Stent & Ather

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.

$45,315 All-payer median here
$32,497 Cash / self-pay here
42 payer/plan-name variants
← This hospital National rates for 37231 →
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
   
GALAXY HEALTH NETWORK [1064104] $64,994 43.4% 1
INTEGRATED HEALTH PLAN [1075104] $64,994 43.4% 1
HEALTHCOMP [1089104] $61,383 35.5% 1
HEALTH MANAGEMENT NETWORK [1066104] $61,383 35.5% 1
HUMANA PPO [1030104] $59,938 32.3% 1
FIRST HEALTH [1016104] $59,577 31.5% 2
NETWORKS BY DESIGN [1084104] $57,772 27.5% 1
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $57,772 27.5% 1
SUTTER HEALTH PLUS $57,772 27.5% 1
PPONEXT [1072104] $57,772 27.5% 1
HEALTHSMART - PKA INTERPLAN [1031104] $57,772 27.5% 1
FEDERAL CORRECTION INSTITUTE [1062104] $57,772 27.5% 1
WESTERN HEALTH ADVANTAGE $54,161 19.5% 2
Kaiser Permanente $53,439 17.9% 1
AETNA LIFE [1001001] $53,439 17.9% 1
HEALTH NET PPO [1028104] $52,450 15.7% 1
Aetna $51,128 12.8% 2
Blue Shield of California $50,587 11.6% 2
AETNA HMO [1001103] $48,817 7.7% 1
BLUE SHIELD HMO [1006103] $45,857 1.2% 3
BLUE SHIELD-NETWORK [1006026] $45,857 1.2% 3
CONTRA COSTA HEALTH PLAN HMO [1013103] $43,329 -4.4% 1
UMR (UnitedHealthcare TPA) $42,231 -6.8% 1
Health Net $41,206 -9.1% 1
HEALTH NET HMO [1028103] $41,206 -9.1% 2
MEDIGAP [1036001] $39,718 -12.4% 1
Carelon Behavioral Health $39,718 -12.4% 1
FORTIFIED PROVIDER NETWORK [1063104] $39,718 -12.4% 1
Three Rivers Provider Network $39,718 -12.4% 1
UnitedHealthcare $36,310 -19.9% 6
United Behavioral Health (Optum) $36,310 -19.9% 1
APS HEALTHCARE [1003103] $32,497 -28.3% 1
Anthem Blue Cross CA $32,407 -28.5% 3
ANTHEM BLUE CROSS HMO [1002103] $29,559 -34.8% 1
CARECENTRIX [1011001] $28,886 -36.3% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $28,886 -36.3% 1
WORKERS' COMP [1024005] $28,786 -36.5% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $25,275 -44.2% 1
CANOPY HN HMO [1166103] $21,664 -52.2% 1
JMPN CANOPY HN [1640000011] $948 -97.9% 1
JMPN UNITED HEALTHCARE [1640000002] $948 -97.9% 1
CONTRA COSTA COUNTY JAIL [1012104] $646 -98.6% 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.