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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in CA

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Hospitals
28
Min
$9,779.02
Median
$14,184
Max
$20,040
Range multiplier
2.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27108$1.10$11,811$61,33555759.1×
Anthem BCBS2293$483.05$13,375$43,41889.9×
Medicaid1762$483.05$731.10$36,09474.7×
UnitedHealthcare2161$483.05$14,101$46,10995.5×
Health Net1257$483.05$16,111$27,80757.6×
Aetna2557$1.00$14,184$26,85226851.5×
Medicare2443$483.05$14,184$43,95891.0×
Kaiser Permanente1840$483.05$13,380$30,68063.5×
Molina926$483.05$14,775$28,64259.3×
Multiplan2022$12,141$20,220$33,1382.7×
First Health1616$8,436.00$18,880$32,4853.9×
brand new day615$14,175$14,923$22,1631.6×
Humana1515$1.10$12,799$15,44914044.6×
Cigna812$1.00$15,342$27,56827567.5×
TRICARE612$14,175$14,775$14,7751.0×
commercial | healthsmart | all plans1010$11,426$22,610$32,4162.8×
aids healthcare foundation28$483.05$14,475$15,07131.2×
Empire BCBS28$700.42$14,775$18,46926.4×
l.a care health plan28$483.05$14,475$14,77530.6×
commercial | sutter health | all plans77$28,875$28,875$48,3541.7×
naphcare47$14,175$22,901$22,9011.6×
employer direct healthcare57$14,175$20,685$20,6851.5×
traditional medi-cal66$483.05$483.05$483.051.0×
renal payer solutions56$14,175$14,775$14,7751.0×
citrus valley physicians group26$14,775$14,775$14,7751.0×
emanate health26$14,775$14,775$29,5502.0×
commercial | connected care intel | all plans55$13,741$15,268$20,2881.5×
commercial | hpn | all plans44$12,872$16,072$18,1231.4×
commercial | hill physicians | all plans44$14,184$14,184$14,1841.0×
provider select24$14,175$17,512$19,4641.4×
imperial health plan34$14,175$15,218$15,6621.1×
alignment34$14,175$14,775$14,7751.0×
provider network of america24$14,175$17,601$19,4641.4×
commercial | pinnacle | all plans44$9,712.44$12,384$13,9441.4×
vantage care24$483.05$7,629.03$14,77530.6×
centinela valley ipa14$14,775$18,986$23,1971.6×
san diego pace23$1.00$10,025$22,73422734.3×
imperial health plan of ca33$15,662$15,662$15,6621.0×
ca foundation for medical center13$14,175$17,471$19,4641.4×
elite health plan23$14,175$14,775$14,7751.0×
interplan23$19,942$22,842$25,0611.3×
corvel23$14,175$16,844$19,4641.4×
commercial | wcmg | all plans33$6,135.98$6,135.98$6,135.981.0×
premier physicians network13$14,775$14,775$23,1971.6×
healthsmart preferred network23$14,175$17,375$19,4641.4×
Bright Health33$12,670$15,511$15,5111.2×
prime health services23$14,175$17,198$19,4641.4×
managed health network23$14,175$14,775$18,0801.3×
americas choice provider network23$14,175$17,198$19,4641.4×
central health plan33$14,775$14,775$14,7751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
San Antonio Regional HospitalUplandCA11$24,374$14,624$450.63$9,779.02$61,335
Sharp Memorial HospitalSan DiegoCA12$35,802$26,852$1.00$20,040$35,086
Sharp Chula Vista Medical CenterChula VistaCA16$35,802$26,852$1.00$18,796$35,086
Grossmont HospitalLa MesaCA7$35,802$26,852$1.00$17,333$25,061
Sequoia HospitalRedwood CityCA15$32,105$22,474$483.05$15,449$48,354
St. Marys Medical CenterSan FranciscoCA16$30,264$21,185$483.05$15,158$43,958
Montclair Hospital Medical CenterMontclairCA24$59,846$14,775$483.05$14,775$29,550
Garden Grove Hospital Medical CenterGarden GroveCA19$61,892$14,775$483.05$14,775$22,901
Huntington Beach HospitalHuntington BeachCA16$77,364$14,775$483.05$14,775$22,163
Chino Valley Medical CenterChinoCA25$59,846$14,775$483.05$14,775$29,550
Centinela Hospital Medical CenterInglewoodCA33$31,531$14,775$483.05$14,775$29,550
Sherman Oaks Hospital-HlthSherman OaksCA30$49,542$14,775$483.05$14,775$22,901
Mercy San Juan Medical CenterCarmichaelCA15$36,094$25,266$483.05$14,224$43,418
Woodland HealthcareWoodlandCA15$36,094$25,266$483.05$14,184$36,094
Methodist Hospital Of SacramentoSacramentoCA13$36,094$25,266$483.05$14,184$36,067
Mercy General HospitalSacramentoCA14$36,094$25,266$483.05$14,101$46,109
Mercy Hospital Of FolsomFolsomCA14$36,094$25,266$483.05$13,553$29,453
Marian Medical CenterSanta MariaCA12$25,352$17,746$483.05$12,956$24,896
Northridge Medical Center - RoscoeNorthridgeCA14$25,892$18,124$483.05$12,799$25,892
St. Johns Regional Medical CenterOxnardCA14$23,845$16,692$584.49$12,799$26,695
St. Johns Pleasant Valley HospitalCamarilloCA14$23,845$16,692$483.05$12,799$26,695
Mercy Medical Center MercedMercedCA13$25,951$18,166$483.05$12,464$33,793
Dominican HospitalSanta CruzCA12$14,283$9,998.10$63.00$12,141$47,547
St. Mary Medical CenterApple ValleyCA14$27,673$19,371$483.05$12,008$24,116
St. Bernardine Medical CenterSan BernardinoCA14$24,657$17,260$483.05$11,981$25,717
Bakersfield Memorial HospitalBakersfieldCA14$21,441$15,009$483.05$11,912$25,070
Community Hospital Of San BernardinoSan BernardinoCA15$18,977$13,284$483.05$11,848$23,263
Tri-City Medical CenterOceansideCA0$19,648$11,789

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.