Price Transparencybeta 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 →

25607 — Optx Dst Rd Xartc Fx/epi Sep

What each payer pays OTTO KAISER MEMORIAL HOSPITAL (CCN 451364) 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.

$9,480 All-payer median here
$13,972 Cash / self-pay here
20 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
   
Omni $13,273 40.0% 1
Three Rivers Provider Network $13,273 40.0% 1
Galaxy Health Network $13,273 40.0% 1
HEALTHSMART BENEFIT SOLUTIONS $13,273 40.0% 1
Aetna $13,273 40.0% 3
Blue Cross Blue Shield $13,273 40.0% 3
MultiPlan / PHCS Network $12,574 32.6% 1
Ims $12,574 32.6% 1
Corcare Healthcare $9,780 3.2% 1
Cigna Healthcare $9,640 1.7% 1
Texas Independence Health Plan $9,480 0.0% 1
Provider Partners Health Plan (PPHP) $9,480 0.0% 1
Allwell (Centene Medicare Advantage) $8,655 -8.7% 1
UnitedHealthcare $8,243 -13.0% 3
CHRISTUS Health $8,243 -13.0% 1
MultiPlan $8,243 -13.0% 1
Sedgewick $8,243 -13.0% 1
Triwest Va $8,243 -13.0% 1
Humana $5,413 -42.9% 2
Superior HealthPlan $630 -93.3% 5

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.