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 37290 · CONCORD, CA

37290 — Pr Revsc Evsc Tpvt Athrc Cplx 1

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.

$42,711 All-payer median here
$34,946 Cash / self-pay here
75 payer/plan-name variants
← This hospital National rates for 37290 →
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 UNITED HEALTHCARE [1640000002] $89,306 109.1% 1
JMPN CANOPY HN [1640000011] $89,306 109.1% 1
GALAXY HEALTH NETWORK [1064104] $69,891 63.6% 1
INTEGRATED HEALTH PLAN [1075104] $69,891 63.6% 1
BLUE CROSS BLUE SHIELD [1007104] $69,550 62.8% 1
ANTHEM BLUE CROSS HMO [1002103] $69,550 62.8% 1
HEALTH MANAGEMENT NETWORK [1066104] $66,008 54.5% 1
HUMANA PPO [1030104] $64,455 50.9% 1
FIRST HEALTH [1016104] $64,067 50.0% 2
WESTERN HEALTH ADVANTAGE MEDICARE [1053113] $62,126 45.5% 1
NETWORKS BY DESIGN [1084104] $62,126 45.5% 1
PPONEXT [1072104] $62,126 45.5% 1
SUTTER HEALTH PLUS $62,126 45.5% 1
HEALTHSMART - PKA INTERPLAN [1031104] $62,126 45.5% 1
FEDERAL CORRECTION INSTITUTE [1062104] $62,126 45.5% 1
HEALTHCOMP [1089104] $59,780 40.0% 2
WESTERN HEALTH ADVANTAGE $58,243 36.4% 2
Kaiser Permanente $57,466 34.5% 1
HEALTH NET PPO [1028104] $56,402 32.1% 1
CIGNA PPO [1010104] $56,301 31.8% 1
Cigna Healthcare $56,301 31.8% 2
AETNA LIFE [1001001] $56,146 31.5% 1
Blue Shield of California $54,399 27.4% 2
Aetna $54,321 27.2% 2
DELTA HEALTH SYSTEMS [1032104] $53,552 25.4% 1
Anthem Blue Cross CA $53,552 25.4% 4
BLUE CROSS BLUE SHIELD [1007204] $53,552 25.4% 1
EMPIRE PLAN [1092104] $53,552 25.4% 1
BRMS [1091104] $53,552 25.4% 1
AETNA HMO [1001103] $52,496 22.9% 1
BLUE SHIELD HMO [1006103] $49,312 15.5% 3
BLUE SHIELD-NETWORK [1006026] $49,312 15.5% 3
CANOPY HN HMO [1166103] $47,371 10.9% 1
CONTRA COSTA HEALTH PLAN HMO [1013103] $46,594 9.1% 1
UMR (UnitedHealthcare TPA) $45,414 6.3% 1
HEALTH NET HMO [1028103] $44,311 3.7% 2
MEDIGAP [1036001] $42,711 0.0% 1
FORTIFIED PROVIDER NETWORK [1063104] $42,711 0.0% 1
Three Rivers Provider Network $42,711 0.0% 1
Carelon Behavioral Health $42,711 0.0% 1
UnitedHealthcare $39,046 -8.6% 7
APS HEALTHCARE [1003103] $34,946 -18.2% 1
Health Net $34,840 -18.4% 2
United Behavioral Health (Optum) $32,466 -24.0% 2
GENERIC HMO [1018103] $32,357 -24.2% 1
GENERIC PPO [1021104] $32,357 -24.2% 1
GENERIC COMMERCIAL/INDEMNITY [1017001] $31,710 -25.8% 2
CARECENTRIX [1011001] $31,063 -27.3% 1
CENTER FOR ELDERS INDEPENDENCE MEDICARE [1097113] $25,886 -39.4% 1
ANTHEM BLUE CROSS MEDICARE [1002113] $25,886 -39.4% 1
CAREMORE [1171113] $25,886 -39.4% 1
JOHN MUIR MEDICARE [1039113] $25,886 -39.4% 1
ALT MEDICARE A/B REBILL [1038003] $25,886 -39.4% 1
Medicare (Generic) $25,886 -39.4% 3
MEDICARE [1038002] $25,886 -39.4% 2
ALT MEDICARE [1038004] $25,886 -39.4% 1
Alignment Healthcare USA, LLC $25,886 -39.4% 1
SCAN Health Plan - California $25,886 -39.4% 3
AETNA MEDICARE [1001113] $25,886 -39.4% 1
UNITED HEALTHCARE MEDICARE [1049113] $25,886 -39.4% 2
VETERANS ADMINISTRATION [1051113] $25,886 -39.4% 1
ESSENCE HEALTHCARE [1049028] $25,886 -39.4% 1
CARE 1ST HEALTH PLAN [1094113] $25,886 -39.4% 1
ESSENCE HEALTHCARE [1049128] $25,886 -39.4% 1
BLUE SHIELD-NETWORK MCARE [1006127] $25,886 -39.4% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $25,886 -39.4% 2
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [1179012] $25,886 -39.4% 1
GOLDEN STATE-NETWORK MCARE [1023127] $25,886 -39.4% 1
BLUE SHIELD MEDICARE [1006113] $25,886 -39.4% 2
HEALTH NET MEDICARE [1028113] $25,886 -39.4% 2
CONTRA COSTA HEALTH PLAN MEDICARE [1013113] $25,886 -39.4% 1
BLUE CROSS BLUE SHIELD MEDICARE [1007113] $25,886 -39.4% 1
BLUE CROSS BLUE SHIELD MCARE [1007127] $25,886 -39.4% 1
HOSPICE OF EAST BAY [1085104] $25,886 -39.4% 1
Humana $25,886 -39.4% 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.