Payer comparison · OTHER 004 · SANTA ANA, CA

004 — Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.r. Procedures

What each payer pays COASTAL COMMUNITIES HOSPITAL (CCN 050747) 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.

$206,492 All-payer median here

46 payer/plan-name variants

← This hospital National rates for 004 →

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

Vitas Hospice	$949,211	359.7%	1
Blue Shield of California	$417,113	102.0%	3
Velocity National Provider Network Ppo	$361,360	75.0%	1
Health Net	$355,992	72.4%	5
Three Rivers Provider Network	$302,080	46.3%	2
County Of Orange/Custody/Advanced Medmgt	$258,114	25.0%	1
Prospect Health Plan	$258,114	25.0%	2
Velocity National Provider Network Wc	$247,755	20.0%	1
Workers Comp State Of California	$247,755	20.0%	1
MultiPlan	$242,800	17.6%	1
Coventry Workers' Compensation	$231,651	12.2%	1
Prime Health Services	$230,223	11.5%	2
Interplan	$225,457	9.2%	1
Champion Health Plan	$223,011	8.0%	1
Coventry Auto Network	$222,980	8.0%	1
BRAND NEW DAY (FFS)	$218,881	6.0%	1
Monarch	$206,492	0.0%	1
Onecare Connect	$206,492	0.0%	1
Other Senior Non Contract	$206,492	0.0%	1
SCAN Group	$206,492	0.0%	1
Self Pay Ab774/Cbo Use Only	$206,492	0.0%	1
UnitedHealthcare	$206,492	0.0%	1
Us Dept Of Labor	$206,492	0.0%	1
Us Federal Marshall/Department Of Immigration	$206,492	0.0%	1
VA / CHAMPVA	$206,492	0.0%	1
Verda Health Plan Sr	$206,492	0.0%	1
Victim Of Violent Crime	$206,492	0.0%	1
Victoria Hospice	$206,492	0.0%	1
Velocity Provider Network Sr	$206,492	0.0%	1
CALOPTIMA	$206,492	0.0%	2
Central Health Plan Of California	$206,492	0.0%	1
Choice Physicians Network	$206,492	0.0%	1
Citizens Choice Health Plan	$206,492	0.0%	1
Clever Care Health Plan, Inc.	$206,492	0.0%	1
EASY CHOICE HEALTH PLAN OF CALIFORNIA	$206,492	0.0%	1
For Your Benefit	$206,492	0.0%	1
Healthcare Partners Sr Hmo	$206,492	0.0%	1
Heritage	$206,492	0.0%	1
Hollywood Presbyterian	$206,492	0.0%	1
Imperial Health Plan of California	$206,492	0.0%	1
Innovative Integrated Health, Inc.	$206,492	0.0%	1
Kaiser Permanente	$206,492	0.0%	1
Kpc Healthcare Inc	$206,492	0.0%	4
MEDCARE PARTNERS	$206,492	0.0%	1
Onecare	$201,329	-2.5%	2
Humana	$191,916	-7.1%	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.