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 69930 · ENCINITAS, CA

69930 — Implant Cochlear Device

What each payer pays SCRIPPS MEMORIAL HOSPITAL - ENCINITAS (CCN 050503) 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.

$42,408 All-payer median here
$22,849 Cash / self-pay here
82 payer/plan-name variants
← This hospital National rates for 69930 →
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
   
PROSPECT MED GROUP [893] $74,213 75.0% 1
HEALTHSMART [350] $73,118 72.4% 1
CHOICE CARE NETWORK [270] $73,118 72.4% 1
PRIME HEALTHCARE [614] $72,093 70.0% 1
Provider Network of America (PNOA) $68,548 61.6% 1
First Health Network $68,548 61.6% 1
MultiPlan $64,892 53.0% 1
Health Net $54,918 29.5% 8
Kaiser Permanente $47,252 11.4% 6
VILLAGE HEALTH MEDICARE ADVANTAGE [592] $42,408 0.0% 1
Astiva Health $42,408 0.0% 1
BC MCR ADV [830] $42,408 0.0% 1
BLUE CROSS BLUE SHIELD MCR ADV [231] $42,408 0.0% 1
BLUE CROSS MEDICARE ADVANTAGE [222] $42,408 0.0% 1
BLUE SHIELD MEDICARE ADVANTAGE [232] $42,408 0.0% 1
BS MCR ADV [829] $42,408 0.0% 1
CENTRAL HEALTH MCR ADV [441] $42,408 0.0% 1
GARY AND MARY WEST PACE MEDI-CAL HMO [557] $42,408 0.0% 1
Gary and Mary West Senior Services, Inc. $42,408 0.0% 1
GOLDEN STATE MEDICARE HEALTH PLAN [444] $42,408 0.0% 1
GPMG/ALTURA - MCR ADV [888] $42,408 0.0% 1
Humana $42,408 0.0% 2
INLAND EMPIRE HEALTH PLAN $42,408 0.0% 1
INTEGRATED HEALTH PARTNERS - MCR ADV [895] $42,408 0.0% 1
LA CARE MCR ADV HMO [612] $42,408 0.0% 1
MEDICARE ADVANTAGE [442] $42,408 0.0% 1
Molina Healthcare $42,408 0.0% 1
MPMG [800] $42,408 0.0% 1
MPMG MCR ADV [836] $42,408 0.0% 1
OCN MCR ADV [890] $42,408 0.0% 1
OPTUM CARE NETWORK NORTH COUNTY SD [808] $42,408 0.0% 1
OPTUM HEALTH MCR ADV [491] $42,408 0.0% 1
PCAC MEDICARE ADVANTAGE [8001] $42,408 0.0% 1
REGAL MEDICARE ADV [8000] $42,408 0.0% 1
SAN DIEGO PACE MEDI-CAL [553] $42,408 0.0% 1
SAN DIEGO PACE MEDICARE ADVANTAGE HMO [554] $42,408 0.0% 1
SCAN Group $42,408 0.0% 4
SHARP COMM MED GRP MCR ADV [840] $42,408 0.0% 1
SHARP HEALTH PLAN MCR ADV [531] $42,408 0.0% 1
SHARP HEALTH PLAN MCR ADV [897] $42,408 0.0% 1
SHARP REES STEALY MED GRP MCR ADV [841] $42,408 0.0% 1
ST PAUL'S PACE MEDI-CAL [551] $42,408 0.0% 1
ST PAUL'S PACE MEDICARE ADVANTAGE [552] $42,408 0.0% 1
UCSD MCR ADV [873] $42,408 0.0% 1
UH MCR ADV [831] $42,408 0.0% 1
UH PALOMAR HEALTH MCR ADV [885] $42,408 0.0% 1
Clever Care Health Plan, Inc. $42,408 0.0% 1
Community Health Group $42,408 0.0% 1
D-SNP MCR ADV [889] $42,408 0.0% 1
DSNP/CSNP - GENERIC [458] $42,408 0.0% 1
EASY CHOICE HEALTH PLAN OF CALIFORNIA $42,408 0.0% 1
FAMILY HEALTH CENTERS PACE MCR ADV HMO [556] $42,408 0.0% 1
FAMILY HEALTH CENTERS PACE MEDI-CAL [555] $42,408 0.0% 1
RADY CHILDREN'S HOSPITAL [825] $37,473 -11.6% 1
Alignment Healthcare USA, LLC $28,695 -32.3% 2
VEBA MED GRP [813] $18,462 -56.5% 1
Aetna $18,462 -56.5% 3
PALOMAR HEALTH [892] $18,462 -56.5% 1
BS [816] $16,817 -60.3% 2
BLUE SHIELD [230] $16,817 -60.3% 4
CENTIVO [581] $16,452 -61.2% 1
HN [815] $16,269 -61.6% 1
IMPERIAL COUNTY PHYS MED GROUP [855] $16,132 -62.0% 2
SHARP COMM MED GRP [812] $16,040 -62.2% 6
SHARP REES STEALY MED GRP [811] $16,040 -62.2% 6
UCSD [807] $16,040 -62.2% 6
BLUE CROSS [220] $15,812 -62.7% 4
PERLMAN MED GROUP [899] $15,812 -62.7% 1
INTEGRATED HEALTH PARTNERS [894] $15,812 -62.7% 1
BLUE CROSS BLUE SHIELD [233] $15,812 -62.7% 2
BC [814] $15,812 -62.7% 1
UnitedHealthcare $15,538 -63.4% 5
UH [819] $15,538 -63.4% 1
Cigna Healthcare $15,355 -63.8% 5
Blue Shield of California $13,710 -67.7% 1
MC BLUE CROSS [901] $13,710 -67.7% 1
MC BLUE SHIELD [902] $13,710 -67.7% 1
RADYS CPMG [803] $7,312 -82.8% 1
AETNA OPTUM CARE NETWORK - SDPMG [809] $1,116 -97.4% 1
CHG OPTUM CARE NETWORK - SDPMG [805] $1,116 -97.4% 1
OPTUM CARE NETWORK - SDPMG MCR ADV [837] $1,116 -97.4% 1
OPTUM CARE NETWORK - SDPMG [821] $1,116 -97.4% 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.