Payer comparison · OTHER 216 · Moss Beach, CA

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays Seton Medical Center Coastside (CCN 050613) 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.

$108,573 All-payer median here

28 payer/plan-name variants

← This hospital National rates for 216 →

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

MultiPlan	$207,872	91.5%	2
Canopy Health	$175,609	61.7%	2
Athens Administrators	$165,180	52.1%	1
Corvel Healthcare	$165,180	52.1%	1
Work Comp Other	$165,180	52.1%	1
US Department of Labor (OWCP)	$145,980	34.5%	1
Knox-Keene Act	$135,717	25.0%	1
BRAND NEW DAY (FFS)	$117,259	8.0%	1
Central Health Plan	$114,951	5.9%	1
EASY CHOICE HEALTH PLAN OF CALIFORNIA	$109,659	1.0%	1
Jade Health Care Mg	$108,573	0.0%	1
Humana	$108,573	0.0%	1
Paficicare	$108,573	0.0%	1
Covid-19 Uninsured Program	$108,573	0.0%	1
Chinese Community Health Plan	$108,573	0.0%	1
Anthem Blue Cross CA	$108,573	0.0%	1
Kaiser Permanente	$106,928	-1.5%	1
Health Net	$106,928	-1.5%	1
Aetna	$106,436	-2.0%	1
Brown And Toland	$106,436	-2.0%	1
San Mateo County/San Mateo County General Hospital	$106,436	-2.0%	1
Care Advantage	$104,824	-3.5%	1
UnitedHealthcare	$94,610	-12.9%	3
Blue Shield of California	$93,988	-13.4%	4
VA / CHAMPVA	$76,001	-30.0%	1
Cigna Healthcare	$66,780	-38.5%	2
Healthcare Foundation Of San Mateo	$37,729	-65.3%	2
Aetna Healthcare Of California Inc	$14,676	-86.5%	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.