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 →

Q0480 — Dme Pos

What each payer pays COAST PLAZA HOSPITAL (CCN 050771) 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.

$110,000 All-payer median here
16 payer/plan-name variants
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
   
Health Net $211,700 92.5% 4
Prime Health Services $200,000 81.8% 1
Provider Network of America (PNOA) $200,000 81.8% 1
Blue Shield of California $150,000 36.4% 1
Central Health Plan $130,000 18.2% 1
ONE HEALTH PLAN OF CALIFORNIA $125,000 13.6% 1
Bright Health $110,000 0.0% 1
BRAND NEW DAY (FFS) $110,000 0.0% 1
Providence Health Network/Oscar $110,000 0.0% 1
Heritage Provider Network $105,000 -4.5% 1
Santa Monica Unite Here Health Benefit Trust Fund $105,000 -4.5% 1
America's Health Network $100,000 -9.1% 1
Blue Cross Blue Shield Association $100,000 -9.1% 1
Local Initiative Health Authority for LA County $100,000 -9.1% 1
OMNICARE MEDICAL GROUP (OMNI) $97,000 -11.8% 1
UnitedHealthcare $85,000 -22.7% 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.