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CPT 90837 · negotiated-rate distribution across hospitals in CA

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Hospitals
22
Min
$141.52
Median
$219.83
Max
$733.72
Range multiplier
5.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1445$101.43$194.61$1,54315.2×
Blue Cross Blue Shield2042$1.1$200.93$995.4904.9×
Medicaid1240$18.4$207.62$99053.8×
Health Net1033$1.15$328.48$1,083.88942.5×
Kaiser Permanente1429$1$187.84$841.5841.5×
Aetna1724$101.43$203.96$1,083.8810.7×
UnitedHealthcare1023$124.32$327.67$1,083.888.7×
Medicare1321$101.43$188.94$309.873.1×
Multiplan1420$141.52$665.46$1,234.48.7×
Cigna1016$147.2$364.22$774.25.3×
First Health1016$132.48$616.5$8916.7×
Molina715$38.01$227.16$829.521.8×
commercial | healthsmart | all plans711$134.32$665.82$889.126.6×
Humana911$101.43$170.5$705.637.0×
commercial | sutter health | all plans510$657.6$724.8$7921.2×
brand new day36$229.43$285.09$340.741.5×
commercial | wcmg | all plans36$139.74$154.02$168.31.2×
TRICARE35$227.16$227.16$227.161.0×
community health group25$328.48$553$741.022.3×
commercial | hill physicians | all plans44$188.94$188.94$188.941.0×
commercial | magellan | all plans44$72.58$140.99$334.24.6×
renal payer solutions33$227.16$227.16$227.161.0×
Bright Health33$155$206.62$206.621.3×
county medical services23$616.04$733.72$774.21.3×
aids healthcare foundation13$38.01$227.16$231.76.1×
medi-cal13$1.15$442.4$829.5721.3×
l.a care health plan13$38.01$227.16$227.166.0×
traditional medi-cal33$38.01$38.01$38.011.0×
san diego pace33$328.48$529.88$884.82.7×
employer direct healthcare33$318.02$318.02$318.021.0×
naphcare23$352.1$352.1$352.11.0×
imperial health plan22$227.16$233.98$240.791.1×
altamed12$412$461.5$5111.2×
california health and wellness12$442.4$486.64$530.881.2×
caloptima22$38.01$38.01$38.011.0×
care 1st health plan12$148$148$1481.0×
commercial | connected care intel | all plans12$462.05$509.27$556.481.2×
commercial | dhr | all plans22$51.52$51.52$51.521.0×
commercial | la care | all plans22$191.95$198.28$204.61.1×
commercial | mhn | all plans22$170.91$187.61$204.31.2×
commercial | usbehavior health | all plans12$822$906$9901.2×
heritage provider network12$412$461.5$5111.2×
verda healthplan22$227.16$227.16$227.161.0×
workers compensation22$299.25$299.25$299.251.0×
county of orange (msn)11$38.01$38.01$38.011.0×
elite health plan11$227.16$227.16$227.161.0×
commercial | sbmg | all plans11$151.88$151.88$151.881.0×
commercial | oscar | exchange11$546.1$546.1$546.11.0×
commercial | naphcare | all plans11$309.87$309.87$309.871.0×
health plan of san mateo [31200]11$171.54$171.54$171.541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
GROSSMONT HOSPITALLA MESACA6$1,106$829.5$154.84$733.72$995.4
SHARP MESA VISTA HOSPITALSAN DIEGOCA10$1,106$829.5$328.48$679.31$1,083.88
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA13$1,106$829.5$1$553$1,083.88
WOODLAND HEALTHCAREWOODLANDCA15$990$693$124.32$509.27$990
STANFORD HEALTH CARESTANFORDCA14$901$450.5$171.54$363.92$597.41
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$445$311.5$101.43$316.8$436.1
SHERMAN OAKS HOSPITAL-HLTHSHERMAN OAKSCA31$912.33$227$38.01$227.16$352.1
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA19$577.6$227$38.01$227.16$352.1
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA16$577.6$227$38.01$227.16$340.74
MERCY GENERAL HOSPITALSACRAMENTOCA13$990$693$124.32$219.83$795.07
MERCY HOSPITAL OF FOLSOMFOLSOMCA13$990$693$124.32$214.64$807.84
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA13$990$693$124.32$214.64$825.76
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA14$990$693$124.32$206.62$818.73
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA13$511$511$118$206$511
SAINT FRANCIS MEMORIAL HOSPITALSAN FRANCISCOCA16$557$389.9$124.32$203.11$557
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINOCA13$349$244.3$124.32$176.79$349
NORTHRIDGE MEDICAL CENTER - ROSCOENORTHRIDGECA12$1,543$1,080.1$124.32$170.91$1,543
ST. MARY MEDICAL CENTERAPPLE VALLEYCA10$484$338.8$124.32$159.96$737
ST. JOSEPHS BEHAVIORAL HLTH CENTERSTOCKTONCA11$184$128.8$18.4$141.52$184
ST. JOSEPHS MEDICAL CENTERSTOCKTONCA11$184$128.8$18.4$141.52$184
TRI-CITY MEDICAL CENTEROCEANSIDECA0$369$221.4
ALVARADO PARKWAY INSTITUTELA MESACA0$500$250

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.