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 · HCPCS 63685 · COLUSA, CA

63685 — Ins/rplc Spi Npg/rcvr Pocket

What each payer pays COLUSA MEDICAL CENTER (CCN 050783) 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.

$44,570 All-payer median here
$46,557 Cash / self-pay here
17 payer/plan-name variants
← This hospital National rates for 63685 →
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
   
CA HEALTH AND WELLNESS (CENTENE) - ALL PLANS $79,923 79.3% 1
HEALTH NET MCAL $79,923 79.3% 1
Medi-Cal $77,595 74.1% 1
Provider Network of America (PNOA) $73,716 65.4% 1
NETWORKS BY DESIGN PPO - ALL PLANS $73,716 65.4% 1
GALAXY NETWORK - ALL PLANS $69,836 56.7% 1
HEALTH NET HMO/PPO/POS/EXCHANGE - ALL OTHER PLANS $67,351 51.1% 1
CORVEL COMMERCIAL- ALL PLANS $62,076 39.3% 1
Anthem Blue Cross CA $56,100 25.9% 2
UnitedHealthcare $46,967 5.4% 2
Health Net $44,570 0.0% 2
CMSP MEDICARE - ALL PLANS $39,618 -11.1% 1
Anthem (Elevance Health) $39,618 -11.1% 1
Blue Shield of California $21,901 -50.9% 2
Aetna $21,009 -52.9% 2
BLUE SHIELD HMO/PPO - ALL OTHER PLANS $4,649 -89.6% 1
Cigna Healthcare $2,200 -95.1% 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.