KAISER FOUNDATION HEALTH PLAN, INC.
What does KAISER FOUNDATION HEALTH PLAN, INC. actually pay hospitals? We analyzed 930 negotiated rates from 5 hospitals across 1 states.
Is KAISER FOUNDATION HEALTH PLAN, INC. Expensive or Cheap?
Based on our analysis of 930 negotiated rates, KAISER FOUNDATION HEALTH PLAN, INC. is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where KAISER FOUNDATION HEALTH PLAN, INC. has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 85025 | BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | 15 | $14 | $8 | $25 |
| 80053 | COMPREHENSIVE METABOLIC PANEL | 15 | $17 | $10 | $30 |
| 71045 | RADIOLOGIC EXAM CHEST SINGLE VIEW | 15 | $204 | $118 | $370 |
| 71046 | RADIOLOGIC EXAM CHEST 2 VIEWS | 15 | $204 | $118 | $370 |
| 73030 | RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 15 | $204 | $118 | $370 |
| 73060 | RADEX HUMERUS MINIMUM 2 VIEWS | 15 | $204 | $118 | $370 |
| 73562 | RADIOLOGIC EXAMINATION KNEE 3 VIEWS | 15 | $204 | $118 | $370 |
| 73590 | RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | 15 | $204 | $118 | $370 |
| 72100 | RADEX SPINE LUMBOSACRAL 2/3 VIEWS | 15 | $245 | $142 | $445 |
| 72110 | RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | 15 | $245 | $142 | $445 |
| 70450 | CT HEAD/BRAIN W/O CONTRAST MATERIAL | 15 | $251 | $145 | $455 |
| 71250 | DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | 15 | $312 | $180 | $565 |
| 72131 | CT LUMBAR SPINE W/O CONTRAST MATERIAL | 15 | $314 | $182 | $570 |
| 72125 | CT CERVICAL SPINE W/O CONTRAST MATERIAL | 15 | $317 | $184 | $575 |
| 70460 | CT HEAD/BRAIN W/CONTRAST MATERIAL | 15 | $411 | $238 | $745 |
| 12001 | SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | 15 | $415 | $240 | $752 |
| 12002 | SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | 15 | $415 | $240 | $752 |
| 12004 | SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM | 15 | $415 | $240 | $752 |
| 12011 | SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | 15 | $415 | $240 | $752 |
| 71260 | DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | 15 | $422 | $244 | $765 |
| 25600 | CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | 15 | $501 | $290 | $908 |
| 72133 | CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL | 15 | $518 | $300 | $940 |
| 70551 | MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | 15 | $557 | $323 | $1,010 |
| 72141 | MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | 15 | $557 | $323 | $1,010 |
| 72146 | MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | 15 | $557 | $323 | $1,010 |
Hospitals with KAISER FOUNDATION HEALTH PLAN, INC. Rates
Hospitals where we have negotiated rate data for KAISER FOUNDATION HEALTH PLAN, INC.
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| Kaiser Permanente Antioch | CA | 186 | 66 | $4,288 | $8 - $69,590 |
| Kaiser Permanente Oakland | CA | 186 | 66 | $4,288 | $8 - $69,590 |
| Kaiser Permanente San Francisco | CA | 186 | 66 | $4,288 | $8 - $69,590 |
| Kaiser Permanente San Jose | CA | 186 | 66 | $4,288 | $8 - $69,590 |
| Kaiser Permanente Fresno | CA | 186 | 66 | $4,288 | $8 - $69,590 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.