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 969 · SOUTH EL MONTE, CA

969 — HIV With Extensive O.r. Procedures 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.

$109,224 All-payer median here
33 payer/plan-name variants
← This hospital National rates for 969 →
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 $629,753 476.6% 2
CHINATOWN SERVICE CENTER $131,068 20.0% 1
Knox-Keene Act $127,020 16.3% 2
MultiPlan $116,220 6.4% 2
Other Non Contracted Work Comp $116,220 6.4% 2
Athens Administrators $116,220 6.4% 2
Health Net $114,751 5.1% 10
Molina Healthcare $114,727 5.0% 6
EMANATE HEALTH IPA $113,093 3.5% 4
Interplan $112,734 3.2% 2
BRAND NEW DAY (FFS) $111,996 2.5% 6
San Miguel Health Plan $111,778 2.3% 2
Preferred Health Network $110,409 1.1% 2
Avanti $110,178 0.9% 6
Local Initiative Health Authority for LA County $109,224 0.0% 1
INTER VALLEY HEALTH PLAN (IVHP) $106,697 -2.3% 2
Alignment Healthcare USA, LLC $104,598 -4.2% 2
Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P $101,616 -7.0% 2
Self-Pay $101,616 -7.0% 2
La Care Covered Direct $101,616 -7.0% 2
UnitedHealthcare $100,519 -8.0% 4
AIDS Healthcare Foundation $99,618 -8.8% 2
Altamed Health Services Corporation $99,618 -8.8% 2
Anthem Blue Cross CA $99,618 -8.8% 2
Apa/Aco Inc $99,618 -8.8% 2
EASY CHOICE HEALTH PLAN OF CALIFORNIA $99,618 -8.8% 2
Other Non Contracted Senior Hmo $99,618 -8.8% 2
Pacific Alliance Medical Center Reciprocal Contract $99,618 -8.8% 2
SCAN Group $99,618 -8.8% 2
Centers for Medicare & Medicaid Services $99,421 -9.0% 2
Blue Shield of California $92,705 -15.1% 4
Beverly Hospital $89,340 -18.2% 4
VA / CHAMPVA $71,131 -34.9% 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.