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CPT 73130 · negotiated-rate distribution across hospitals in CA
Hospitals
37
Min
$84.00
Median
$148.54
Max
$735.25
Range multiplier
8.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 29 | 135 | $33.42 | $145.83 | $790.50 | 23.7× |
| UnitedHealthcare | 26 | 108 | $51.20 | $455.09 | $1,497.16 | 29.2× |
| Kaiser Permanente | 24 | 80 | $35.70 | $166.60 | $1,118.81 | 31.3× |
| Aetna | 32 | 73 | $8.40 | $114.22 | $789.89 | 94.0× |
| Medicaid | 22 | 70 | $35.70 | $43.99 | $1,054.00 | 29.5× |
| Blue Cross Blue Shield | 33 | 69 | $1.00 | $111.37 | $817.09 | 817.1× |
| Health Net | 17 | 59 | $26.32 | $145.00 | $1,046.66 | 39.8× |
| Medicare | 32 | 57 | $36.06 | $111.37 | $542.40 | 15.0× |
| Multiplan | 26 | 52 | $52.92 | $622.80 | $1,248.80 | 23.6× |
| Cigna | 23 | 46 | $42.77 | $381.99 | $1,188.11 | 27.8× |
| First Health | 21 | 39 | $52.92 | $462.30 | $1,103.30 | 20.8× |
| Humana | 22 | 27 | $42.78 | $103.07 | $389.30 | 9.1× |
| Molina | 11 | 26 | $21.00 | $111.37 | $461.04 | 22.0× |
| commercial | healthsmart | all plans | 12 | 25 | $124.64 | $687.24 | $1,038.40 | 8.3× |
| brand new day | 7 | 15 | $112.48 | $145.00 | $167.06 | 1.5× |
| TRICARE | 7 | 12 | $111.37 | $111.37 | $111.37 | 1.0× |
| aids healthcare foundation | 3 | 9 | $26.32 | $111.37 | $113.60 | 4.3× |
| commercial | magellan | all plans | 3 | 8 | $257.40 | $468.90 | $525.60 | 2.0× |
| Empire BCBS | 2 | 8 | $38.16 | $111.37 | $139.21 | 3.6× |
| commercial | connected care intel | all plans | 5 | 7 | $342.40 | $592.46 | $637.31 | 1.9× |
| traditional medi-cal | 7 | 7 | $26.32 | $26.32 | $26.32 | 1.0× |
| employer direct healthcare | 6 | 7 | $145.00 | $155.92 | $155.92 | 1.1× |
| commercial | sutter health | all plans | 7 | 7 | $383.02 | $843.20 | $843.20 | 2.2× |
| renal payer solutions | 6 | 6 | $111.37 | $111.37 | $111.37 | 1.0× |
| emanate health | 2 | 6 | $111.37 | $111.37 | $222.74 | 2.0× |
| naphcare | 4 | 6 | $145.00 | $172.62 | $172.62 | 1.2× |
| citrus valley physicians group | 2 | 6 | $111.37 | $111.37 | $111.37 | 1.0× |
| l.a care health plan | 2 | 6 | $26.32 | $111.37 | $111.37 | 4.2× |
| commercial | hill physicians | all plans | 5 | 5 | $114.22 | $114.22 | $114.22 | 1.0× |
| Bright Health | 4 | 4 | $88.00 | $113.47 | $124.90 | 1.4× |
| vantage care | 2 | 4 | $26.32 | $68.85 | $111.37 | 4.2× |
| alignment | 4 | 4 | $111.37 | $111.37 | $111.37 | 1.0× |
| centinela valley ipa | 1 | 4 | $111.37 | $143.11 | $174.85 | 1.6× |
| commercial | healthcare partners | all plans | 1 | 4 | $284.72 | $359.09 | $436.23 | 1.5× |
| provider network of america | 3 | 3 | $133.64 | $146.71 | $146.71 | 1.1× |
| provider select | 3 | 3 | $132.31 | $145.25 | $146.71 | 1.1× |
| premier physicians network | 1 | 3 | $111.37 | $111.37 | $174.85 | 1.6× |
| prime health services | 3 | 3 | $129.63 | $146.71 | $163.20 | 1.3× |
| managed health network | 3 | 3 | $111.37 | $111.37 | $610.20 | 5.5× |
| community health group | 2 | 3 | $101.70 | $432.56 | $474.60 | 4.7× |
| central health plan | 3 | 3 | $111.37 | $111.37 | $111.37 | 1.0× |
| corvel | 3 | 3 | $126.96 | $139.38 | $146.71 | 1.2× |
| la care health plan | 1 | 3 | $26.32 | $111.37 | $111.37 | 4.2× |
| commercial | mhn | all plans | 3 | 3 | $103.32 | $123.51 | $123.51 | 1.2× |
| indian health council | 2 | 3 | $474.60 | $508.50 | $508.50 | 1.1× |
| imperial health plan | 3 | 3 | $111.37 | $118.05 | $118.05 | 1.1× |
| americas choice provider network | 3 | 3 | $129.63 | $142.31 | $146.71 | 1.1× |
| imperial health plan of ca | 3 | 3 | $118.05 | $118.05 | $118.05 | 1.0× |
| commercial | wcmg | all plans | 3 | 3 | $179.18 | $179.18 | $179.18 | 1.0× |
| worker compensation | 3 | 3 | $146.71 | $146.71 | $146.71 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | CA | 14 | $387.00 | $270.90 | $36.06 | $96.26 | $381.61 |
| Pacifica Hospital Of The Valley | Sun Valley | CA | 13 | $273.00 | $273.00 | $11.00 | $84.00 | $273.00 |
| Dominican Hospital | Santa Cruz | CA | 12 | $1,298.00 | $908.60 | $36.06 | $735.25 | $1,298.00 |
| Marian Medical Center | Santa Maria | CA | 12 | $1,068.00 | $747.60 | $36.06 | $634.41 | $1,068.00 |
| Sharp Memorial Hospital | San Diego | CA | 12 | $678.00 | $508.50 | $101.70 | $461.04 | $610.20 |
| Woodland Healthcare | Woodland | CA | 15 | $1,054.00 | $737.80 | $36.06 | $444.90 | $1,054.00 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | 14 | $678.00 | $508.50 | $1.30 | $432.56 | $610.20 |
| Scripps Mercy Hospital | San Diego | CA | 9 | $1,638.18 | $409.54 | $111.93 | $431.39 | $743.73 |
| Grossmont Hospital | La Mesa | CA | 3 | $678.00 | $508.50 | $1.00 | $427.14 | $474.60 |
| Mercy Medical Center Mt. Shasta | Mt. Shasta | CA | 12 | $452.00 | $316.40 | $36.06 | $377.09 | $452.00 |
| St Elizabeth Community Hosptial | Red Bluff | CA | 12 | $1,088.00 | $761.60 | $32.51 | $331.55 | $1,088.00 |
| St. Mary Medical Center | Apple Valley | CA | 13 | $786.00 | $550.20 | $36.06 | $284.72 | $701.98 |
| Mercy Medical Center Merced | Merced | CA | 12 | $1,210.00 | $847.00 | $36.06 | $232.69 | $1,210.00 |
| Sequoia Hospital | Redwood City | CA | 15 | $1,453.00 | $1,017.10 | $36.06 | $223.92 | $1,194.37 |
| Saint Francis Memorial Hospital | San Francisco | CA | 19 | $876.00 | $613.20 | $36.06 | $204.82 | $876.00 |
| San Antonio Regional Hospital | Upland | CA | 11 | $813.00 | $487.80 | $6.17 | $198.33 | $715.44 |
| St. Marys Medical Center | San Francisco | CA | 17 | $735.00 | $514.50 | $36.06 | $182.03 | $735.00 |
| Mark Twain Medical Center | San Andreas | CA | 12 | $361.00 | $252.70 | $35.70 | $153.06 | $353.78 |
| St. Johns Pleasant Valley Hospital | Camarillo | CA | 14 | $690.00 | $483.00 | $36.06 | $152.33 | $552.00 |
| St. Bernardine Medical Center | San Bernardino | CA | 15 | $1,092.00 | $764.40 | $36.06 | $148.54 | $895.44 |
| Mercy Hospital Of Folsom | Folsom | CA | 15 | $1,054.00 | $737.80 | $36.06 | $146.40 | $1,054.00 |
| Central Valley Specialty Hospital | Modesto | CA | 6 | $192.00 | $192.00 | $48.00 | $144.00 | $163.20 |
| Community Hospital Of San Bernardino | San Bernardino | CA | 17 | $857.00 | $599.90 | $36.06 | $139.07 | $685.60 |
| Mercy San Juan Medical Center | Carmichael | CA | 15 | $1,054.00 | $737.80 | $36.06 | $121.28 | $871.66 |
| Mercy General Hospital | Sacramento | CA | 15 | $1,054.00 | $737.80 | $36.06 | $121.28 | $1,054.00 |
| Methodist Hospital Of Sacramento | Sacramento | CA | 15 | $1,054.00 | $737.80 | $36.06 | $117.65 | $1,054.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | CA | 12 | $980.00 | $686.00 | $36.06 | $114.22 | $965.30 |
| St. Johns Regional Medical Center | Oxnard | CA | 14 | $690.00 | $483.00 | $43.63 | $112.97 | $536.89 |
| Sherman Oaks Hospital-Hlth | Sherman Oaks | CA | 30 | $311.50 | $111.00 | $26.32 | $111.93 | $172.62 |
| Garden Grove Hospital Medical Center | Garden Grove | CA | 19 | $1,017.13 | $111.00 | $26.32 | $111.37 | $172.62 |
| Centinela Hospital Medical Center | Inglewood | CA | 34 | $572.00 | $111.00 | $26.32 | $111.37 | $222.74 |
| Montclair Hospital Medical Center | Montclair | CA | 24 | $1,092.15 | $111.00 | $26.32 | $111.37 | $222.74 |
| Encino Hospital | Encino | CA | 27 | $365.80 | $111.00 | $26.32 | $111.37 | $167.06 |
| Huntington Beach Hospital | Huntington Beach | CA | 17 | $1,017.13 | $111.00 | $26.32 | $111.37 | $167.06 |
| Chino Valley Medical Center | Chino | CA | 25 | $1,092.15 | $111.00 | $26.32 | $111.37 | $222.74 |
| Northridge Medical Center - Roscoe | Northridge | CA | 14 | $1,561.00 | $1,092.70 | $36.06 | $103.32 | $1,561.00 |
| Tri-City Medical Center | Oceanside | CA | 0 | $1,091.00 | $654.60 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.