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 · OTHER 216 · SOUTH EL MONTE, CA

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

What each payer pays GREATER EL MONTE COMMUNITY HOSPITAL (CCN 050738) 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.

$101,982 All-payer median here
40 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
   
American Insurance Consultants $258,237 153.2% 2
Other Non Contracted Work Comp $179,378 75.9% 2
MultiPlan $179,378 75.9% 2
Athens Administrators $179,378 75.9% 2
Interplan $173,996 70.6% 2
Preferred Health Network $170,409 67.1% 2
Knox-Keene Act $128,115 25.6% 2
Blue Shield of California $122,731 20.3% 4
CHINATOWN SERVICE CENTER $122,378 20.0% 1
Avanti $121,147 18.8% 6
Health Net $115,176 12.9% 10
EMANATE HEALTH IPA $115,111 12.9% 4
San Miguel Health Plan $112,741 10.6% 2
Molina Healthcare $108,155 6.1% 6
BRAND NEW DAY (FFS) $107,616 5.5% 6
INTER VALLEY HEALTH PLAN (IVHP) $107,616 5.5% 2
Alignment Healthcare USA, LLC $105,499 3.4% 2
Beverly Hospital $105,323 3.3% 4
Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P $102,492 0.5% 2
La Care Covered Direct $102,492 0.5% 2
Self-Pay $102,492 0.5% 2
UnitedHealthcare $101,469 -0.5% 4
SCAN Group $100,476 -1.5% 2
Apa/Aco Inc $100,476 -1.5% 2
Pacific Alliance Medical Center Reciprocal Contract $100,476 -1.5% 2
EASY CHOICE HEALTH PLAN OF CALIFORNIA $100,476 -1.5% 2
Anthem Blue Cross CA $100,476 -1.5% 2
Altamed Health Services Corporation $100,476 -1.5% 2
AIDS Healthcare Foundation $100,476 -1.5% 2
Other Non Contracted Senior Hmo $100,476 -1.5% 2
Centers for Medicare & Medicaid Services $98,969 -3.0% 2
VA / CHAMPVA $71,744 -29.6% 2
Ahmc Reciprocity Agreement $45,168 -55.7% 4
Ahmc Reciprocity Agreement Senior/Commercial $35,313 -65.4% 2
Local Initiative Health Authority for LA County $23,000 -77.4% 4
Employee Health Systems Medical Group $15,500 -84.8% 2
Lincoln Hospital Medical Center $11,500 -88.7% 2
Centene $7,175 -93.0% 4
Universal Care $3,400 -96.7% 2
CareFirst BCBS $2,600 -97.5% 2

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.